Provider Demographics
NPI:1447872791
Name:MEYER, JIAYING J (PHD)
Entity type:Individual
Prefix:
First Name:JIAYING
Middle Name:J
Last Name:MEYER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2033 KEHRSBORO DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-6512
Mailing Address - Country:US
Mailing Address - Phone:314-825-3727
Mailing Address - Fax:
Practice Address - Street 1:2033 KEHRSBORO DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-6512
Practice Address - Country:US
Practice Address - Phone:314-825-3727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-09
Last Update Date:2020-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health