Individual
DR. MEREDITH JAN TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1660 S COLUMBIAN WAY # 128, VAPSHCS SPINAL CORD INJURY SERVICE, SEATTLE, WA 98108-1532
(206) 764-2823
(206) 764-2799
Mailing address
1660 S COLUMBIAN WAY # 128, VAPSHCS SPINAL CORD INJURY SERVICE, SEATTLE, WA 98108-1532
(206) 764-2823
(206) 764-2799
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
PY00002403
WA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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