Individual
TAWNYA MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
201 ROOSEVELT AVE, SELINSGROVE, PA 17870-7969
(570) 374-0151
(570) 374-0311
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017041
PA
103TB0200X
Cognitive & Behavioral Psychologist
622
NE
103TC2200X
Clinical Child & Adolescent Psychologist
PS017041
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
10/26/2006
Last updated
08/10/2020
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