Healthcare Provider Details

I. General information

NPI: 1629208673
Provider Name (Legal Business Name): WILL MEEK PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2009
Last Update Date: 11/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E 22ND ST
VANCOUVER WA
98663-3208
US

IV. Provider business mailing address

1701 BROADWAY ST # 364
VANCOUVER WA
98663-3436
US

V. Phone/Fax

Practice location:
  • Phone: 360-513-0575
  • Fax:
Mailing address:
  • Phone: 360-513-0575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPY60058226
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: