Healthcare Provider Details

I. General information

NPI: 1386276996
Provider Name (Legal Business Name): MEREDITH MEALER PMHNP, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5808 S RAPP ST STE 100
LITTLETON CO
80120-1942
US

IV. Provider business mailing address

5724 HERON DR E
COLLEYVILLE TX
76034-2504
US

V. Phone/Fax

Practice location:
  • Phone: 303-481-3489
  • Fax: 720-535-4664
Mailing address:
  • Phone: 720-333-6672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC-APN0106439
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: