Healthcare Provider Details

I. General information

NPI: 1801265384
Provider Name (Legal Business Name): MEIER CLINICS FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 OKEECHOBEE BLVD C/O GRACE FELLOWSHIP
WEST PALM BEACH FL
33411-1925
US

IV. Provider business mailing address

2100 MANCHESTER RD SUITE 1510
WHEATON IL
60187-4561
US

V. Phone/Fax

Practice location:
  • Phone: 630-653-1717
  • Fax: 630-653-9691
Mailing address:
  • Phone: 630-653-1717
  • Fax: 630-653-9691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: SANDY NEWPORT
Title or Position: NATIONAL EXECUTIVE ASSISTANT
Credential:
Phone: 630-653-1717