Provider Demographics
NPI:1144368796
Name:MEYERS, MARILYN JOYCE (PSY D)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:JOYCE
Last Name:MEYERS
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9351 GRANT ST STE 480
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4375
Mailing Address - Country:US
Mailing Address - Phone:303-669-9577
Mailing Address - Fax:
Practice Address - Street 1:9351 GRANT ST STE 480
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4375
Practice Address - Country:US
Practice Address - Phone:303-420-8580
Practice Address - Fax:303-420-8842
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1798103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
186530500OtherDEPT OF LABOR (FED WC)
CO07017981Medicaid
COCO303685Medicare PIN