Provider Demographics
NPI:1588071641
Name:MEYER, HAROLD ROBERT (SCAC BOARD CERTIFIC)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:ROBERT
Last Name:MEYER
Suffix:
Gender:M
Credentials:SCAC BOARD CERTIFIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W 75TH ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-1710
Mailing Address - Country:US
Mailing Address - Phone:646-205-8080
Mailing Address - Fax:646-205-8080
Practice Address - Street 1:215 W 75TH ST
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-1710
Practice Address - Country:US
Practice Address - Phone:646-205-8080
Practice Address - Fax:646-205-8080
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional