Provider Demographics
NPI:1386773497
Name:MEIER, LISA J (PHD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:J
Last Name:MEIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 697
Mailing Address - Street 2:
Mailing Address - City:GLEN ECHO
Mailing Address - State:MD
Mailing Address - Zip Code:20812-0697
Mailing Address - Country:US
Mailing Address - Phone:301-320-2417
Mailing Address - Fax:301-320-4722
Practice Address - Street 1:7700 LEESBURG PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2615
Practice Address - Country:US
Practice Address - Phone:301-320-2417
Practice Address - Fax:301-320-4722
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03004103T00000X
VA0810002069103TC0700X, 103TC2200X, 103T00000X
MA7003103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent