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NPI Code Detail

MEDICARE: MEIER CLINICS OF CALIFORNIA, INC.

MEDICARE: MEIER CLINICS OF CALIFORNIA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY00001551WA

General Provider Information

NPI Number : 1548216799
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEIER CLINICS OF CALIFORNIA, INC.
Provider Business Mailing Address
First Line : 2099 N COLLINS BLVD
Second Line : SUITE 200
City : RICHARDSON
State : TX
Zip : 75080-2698
Country : US
Telephone Number : 972-437-4698
Fax Number : 972-671-2087
Provider Business Practice Location Address
First Line : 6212 75TH ST W
Second Line :
City : LAKEWOOD
State : WA
Zip : 98499-8368
Country : US
Telephone Number : 972-437-4698
Fax Number : 972-671-2087
Authorized Official
Title or Position : V. P. CORPORATE COMPLIANCE
Name : JACQUELYN WILLIAMS
Credential : LPC
Telephone Number : 972-437-4698
Provider Enumeration Date : 05/26/2006
Last Update Date : 08/22/2020

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