Provider Demographics
NPI:1841360773
Name:MYER, PETER D (CASAC CIT)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:D
Last Name:MYER
Suffix:
Gender:M
Credentials:CASAC CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 WINTHROP AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:13203-1904
Mailing Address - Country:US
Mailing Address - Phone:518-885-6884
Mailing Address - Fax:518-885-0077
Practice Address - Street 1:82 WINTHROP AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1904
Practice Address - Country:US
Practice Address - Phone:518-885-7688
Practice Address - Fax:518-885-0077
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)