Provider Demographics
NPI:1962202630
Name:MEYER, ZIVA NEVAEH
Entity type:Individual
Prefix:
First Name:ZIVA
Middle Name:NEVAEH
Last Name:MEYER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ZACHARY
Other - Middle Name:JAMES DALE
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:US RECORDS PRIOR NAM
Mailing Address - Street 1:3543 E 140TH ST # 1
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4546
Mailing Address - Country:US
Mailing Address - Phone:484-639-9224
Mailing Address - Fax:484-639-9224
Practice Address - Street 1:3543 E 140TH ST # 1
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-4546
Practice Address - Country:US
Practice Address - Phone:484-639-9224
Practice Address - Fax:484-639-9224
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator