Provider Demographics
NPI:1043238108
Name:TITUS, MEREDITH A (PHD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:A
Last Name:TITUS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BEACON PKWY W
Mailing Address - Street 2:SUITE 850
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3120
Mailing Address - Country:US
Mailing Address - Phone:205-945-1550
Mailing Address - Fax:205-945-1260
Practice Address - Street 1:600 BEACON PKWY W
Practice Address - Street 2:SUITE 850
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3120
Practice Address - Country:US
Practice Address - Phone:205-945-1550
Practice Address - Fax:205-945-1260
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL848AL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALR76017Medicare UPIN