Doctor Name: | MRS. DENISE O. MEREDITH |
NPI Number: | 1043370398 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C.,L.M.F.T. |
License Number: | 11304 |
Business Practice Address: | 1490 E Whitestone Blvd Suite Number 270 Cedar Park, TX - 786132274 |
Business Phone Number: | 5125733424 |
Business Fax Number: | 5122675453 |
Mailing Address: | 1490 E Whitestone Blvd, Suite Number 270 CEDAR PARK |
State: | TX |
Postal Code: | 786132274 |
Phone Number: | 5125733424 |
Fax Number: | 5122675453 |
NPI Enumeration Date: | 12/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 11304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |