Doctor Name: | MRS. MEREDITH LEIGH HUDSON |
NPI Number: | 1043539075 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHPP |
License Number: | A1412170 |
Business Practice Address: | 1308 W 5th Ave Crossett, AR - 716352500 |
Business Phone Number: | 8703646471 |
Business Fax Number: | 8703649753 |
Mailing Address: | 790 Roberts Dr, MONTICELLO |
State: | AR |
Postal Code: | 716555723 |
Phone Number: | 8703672461 |
Fax Number: | 8704606133 |
NPI Enumeration Date: | 06/01/2010 |
NPI Last Update Date: | 12/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A1412170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |