Individual
JILL ANNE MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
UPC CHILDREN'S HOSPITAL, 3901 BEAUBIEN 4TH FLOOR CARLS BLDG, DETROIT, MI 48201
(313) 745-4878
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5971
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009705
MI
Other
Enumeration date
06/01/2006
Last updated
05/13/2019
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