| Doctor Name: | DR. GRETCHEN L. MEADER |
| NPI Number: | 1104938414 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PY00003667 |
| Business Practice Address: | 850 Maple St. Medical Lake, WA - 990220800 |
| Business Phone Number: | 5095654000 |
| Business Fax Number: | 5095654705 |
| Mailing Address: | Po Box 800, MEDICAL LAKE |
| State: | WA |
| Postal Code: | 990220800 |
| Phone Number: | 5095654000 |
| Fax Number: | 5095654705 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 02/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY00003667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |