Individual
DR. DENNIS WILLIAM MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
100 CAMPUS DR, PORT WASHINGTON, NY 11050-3719
(516) 767-5819
Mailing address
100 CAMPUS DR, PORT WASHINGTON, NY 11050-3719
(516) 767-5819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007361-4
NY
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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