| A. Meadow Associates Llc | |
|
340 N Main St Ste 201 Plymouth MI 48170-1290 | |
| (734) 386-0193 | |
| Not Available |
| Full Name | A. Meadow Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 340 N Main St Ste 201, Plymouth, Michigan |
| Authorized Official Name and Position | Aurolee Meadow (OWNER) |
| Authorized Official Contact | 7343860193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Meadow Associates Llc 340 N Main St Ste 201 Plymouth MI 48170-1290 Ph: () - | A. Meadow Associates Llc 340 N Main St Ste 201 Plymouth MI 48170-1290 Ph: (734) 386-0193 |
| NPI Number | 1275032161 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 02/06/2018 |
| Medicare PECOS PAC ID | 7416218920 |
|---|---|
| Medicare Enrollment ID | O20180226001169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275032161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301011798 (Michigan) | Primary |
| Provider Name | Aurolee Meadow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790863173 PECOS PAC ID: 3971564105 Enrollment ID: I20080623000397 |
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