Individual
PETRA MEEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA (TEXAS)
Contact information
Practice address
224 KAMEHAMEHA AVE, HILO, HI 96720-2860
(787) 247-5445
Mailing address
HC 2 BOX 12026, LAS MARIAS, PR 00670-9011
(939) 402-0680
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6945
PR
Other
Enumeration date
05/19/2021
Last updated
01/05/2022
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