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General NPI Number Information
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NPI Number | 1750862868
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Entity Type | Organization
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Legal Business Name | AMY MEREDITH, PSY.D., LLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 206 S TYLER ST STE B
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City | COVINGTON
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State | LA
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Zip | 70433-3073
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Country | US
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Telephone | 985-249-9469
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Fax | 985-792-3106
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Provider Business Mailing Address
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Address Line | 206 S TYLER ST STE B
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City | COVINGTON
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State | LA
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Zip | 70433-3073
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Country | US
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Telephone | 985-249-9469
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Fax | 985-792-3106
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. AMY MEREDITH
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Credential | PSY.D.
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Telephone | 985-249-9469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 1329
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License Number State | LA
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