| Miranda Meadows, P.c. | |
|
60 S River St Apt 303 Aurora IL 60506-5137 | |
| (601) 319-3179 | |
| Not Available |
| Full Name | Miranda Meadows, P.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 60 S River St Apt 303, Aurora, Illinois |
| Authorized Official Name and Position | Miranda Meadows (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6013193179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Meadows, P.c. 60 S River St Apt 303 Aurora IL 60506-5137 Ph: (601) 319-3179 | Miranda Meadows, P.c. 60 S River St Apt 303 Aurora IL 60506-5137 Ph: (601) 319-3179 |
| NPI Number | 1215523568 |
|---|---|
| Provider Enumeration Date | 12/20/2020 |
| Last Update Date | 12/20/2020 |
| Certification Date | 12/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215523568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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