Healthcare Provider Details

I. General information

NPI: 1205606035
Provider Name (Legal Business Name): MEREDITH JOY BARBIERI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEREDITH JOY BRUNEAU

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 01/03/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10311 NE HIGHWAY 99
VANCOUVER WA
98686-5978
US

IV. Provider business mailing address

10311 NE HIGHWAY 99 # 16
VANCOUVER WA
98686-5978
US

V. Phone/Fax

Practice location:
  • Phone: 360-891-2000
  • Fax: 360-891-9543
Mailing address:
  • Phone: 360-891-2000
  • Fax: 360-891-9543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberMC61470338
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: