Organization
MIRANDA MEADOWS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRANDA MEADOWS PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(601) 319-3179
Entity
Organization
Contact information
Practice address
60 S RIVER ST APT 303, AURORA, IL 60506-5137
(601) 319-3179
Mailing address
60 S RIVER ST APT 303, AURORA, IL 60506-5137
(601) 319-3179
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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