Healthcare Provider Details

I. General information

NPI: 1245264332
Provider Name (Legal Business Name): ELIZABETH A. MEADOW M.D. (PH.D)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 08/06/2025
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CEDAR LANE
BOW NH
03304
US

IV. Provider business mailing address

20 CEDAR LANE
BOW NH
03304
US

V. Phone/Fax

Practice location:
  • Phone: 603-520-5277
  • Fax: 603-357-9648
Mailing address:
  • Phone: 603-520-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number6299
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: