| Pamela J Meeds Psy D Pa | |
|
116 S Main St Suite 207 Mooresville NC 28115-2372 | |
| (704) 662-0124 | |
| (704) 662-9192 |
| Full Name | Pamela J Meeds Psy D Pa |
|---|---|
| Speciality | Psychologist |
| Location | 116 S Main St, Mooresville, North Carolina |
| Authorized Official Name and Position | Pamela Jane Meeds (PRESIDENT) |
| Authorized Official Contact | 7046620124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela J Meeds Psy D Pa 116 S Main St Suite 207 Mooresville NC 28115-2372 Ph: (704) 662-0124 | Pamela J Meeds Psy D Pa 116 S Main St Suite 207 Mooresville NC 28115-2372 Ph: (704) 662-0124 |
| NPI Number | 1558587055 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 10/25/2012 |
| Medicare PECOS PAC ID | 6608027420 |
|---|---|
| Medicare Enrollment ID | O20121102000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558587055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0220 (North Carolina) | Primary |
| Provider Name | Pamela Jane Meeds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013923796 PECOS PAC ID: 7416108238 Enrollment ID: I20130402000114 |
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