Healthcare Provider Details

I. General information

NPI: 1952502445
Provider Name (Legal Business Name): MEALER PSYCHOLOGICAL,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 11/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1037 CRESTHAVEN RD
MEMPHIS TN
38119-3833
US

IV. Provider business mailing address

PO BOX 382801
GERMANTOWN TN
38183-2801
US

V. Phone/Fax

Practice location:
  • Phone: 901-763-4357
  • Fax: 901-767-4728
Mailing address:
  • Phone: 901-833-1746
  • Fax: 901-756-5927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number1838
License Number StateTN

VIII. Authorized Official

Name: DR. CYNTHIA ZIEGLER MEALER
Title or Position: MANAGING PARTNER
Credential: PH.D.
Phone: 901-833-1746