=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952675688
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SABRINA L MEEK
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/27/2012
-----------------------------------------------------
Last Update Date | 08/10/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21311 ALDER DRIVE
-----------------------------------------------------
City | SANTA CLARITA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-315-8260
-----------------------------------------------------
Fax | 661-438-1626
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 220813
-----------------------------------------------------
City | NEWHALL
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91322-0813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-877-1223
-----------------------------------------------------
Fax | 661-438-1626
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | PSY30529
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------