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General NPI Number Information
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NPI Number | 1548279615
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Entity Type | Organization
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Legal Business Name | JEFFERY T. MEECH, PSYD, PA
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Dates
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Enumeration Date | 08/06/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 509 W. HANLEY AVE STE 101
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City | COEUR D'ALENE
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State | ID
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Zip | 83815-8994
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Country | US
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Telephone | 208-666-0357
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Fax | 208-666-0468
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Provider Business Mailing Address
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Address Line | 509 W. HANLEY AVE STE 101
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City | COEUR D'ALENE
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State | ID
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Zip | 83815-8994
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Country | US
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Telephone | 208-666-0357
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Fax | 208-666-0468
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. JEFFERY THOMAS MEECH
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Credential | PSY D, MSCP
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Telephone | 208-666-0357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY5143
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License Number State | FL
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