Provider Demographics
NPI:1215238068
Name:MEYERS, JARED D (AUD)
Entity type:Individual
Prefix:
First Name:JARED
Middle Name:D
Last Name:MEYERS
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S WHITE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SHOW LOW
Mailing Address - State:AZ
Mailing Address - Zip Code:85901-0511
Mailing Address - Country:US
Mailing Address - Phone:928-537-3456
Mailing Address - Fax:928-537-3469
Practice Address - Street 1:2600 S WHITE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901-0511
Practice Address - Country:US
Practice Address - Phone:928-537-3456
Practice Address - Fax:928-537-3469
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA6997237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter