Individual
DR. ALICE E. MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
714 CALLE DON DIEGO, ESPANOLA, NM 87532-3414
(505) 367-3342
(505) 367-3361
Mailing address
PO BOX 1359, TAOS, NM 87571-1359
(575) 758-2919
(575) 758-0262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
374
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374
—
NM
Enumeration date
09/03/2008
Last updated
09/03/2008
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