Provider Demographics
NPI:1699321836
Name:MEIER, RONALD NORBERT (LPA)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:NORBERT
Last Name:MEIER
Suffix:
Gender:M
Credentials:LPA
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 64
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-0064
Mailing Address - Country:US
Mailing Address - Phone:907-232-7574
Mailing Address - Fax:
Practice Address - Street 1:720 E EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6660
Practice Address - Country:US
Practice Address - Phone:907-232-7574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPSYA544101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health