ELLIOTT MYERS PPS
NPI 1558114330
Counselor - School in Redlands, CA
Active since April 10, 2024
About Elliott Myers Pps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIOTT MYERS PPS (NPI 1558114330) is an individual school provider in Redlands, California, licensed in California (230155827) and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1558114330
Entity TypeIndividualMale
Primary Taxonomy101YS0200X
Provider Legal NameELLIOTT MYERSCredential: PPS
Location Address20 W LUGONIA AVERedlands, CA 92374-2234
Mailing Address20 W Lugonia AveRedlands, CA 92374-2234 · (909) 307-2460
Phone(909) 307-2460
Sole ProprietorNo
Enumeration DateApril 10, 2024
NPPES CertifiedApril 10, 2024
✔ NPI 1558114330 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in CA · 230155827
20 W LUGONIA AVE, Redlands, CA 92374
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558114330, enumerated as an "individual" on April 10, 2024.
The provider is located at 20 W LUGONIA AVE REDLANDS, CA 92374 and the phone number is (909) 307-2460.
Counselor with taxonomy code 101YS0200X and a focus in School.
