Provider Demographics
NPI:1336318625
Name:MEAD, ELDINE FRANCES (LICENSED MENTAL HEAL)
Entity Type:Individual
Prefix:MS
First Name:ELDINE
Middle Name:FRANCES
Last Name:MEAD
Suffix:
Gender:F
Credentials:LICENSED MENTAL HEAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 LOCUST ST
Mailing Address - Street 2:SUITE 718 DUBUQUE BUILDING
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6838
Mailing Address - Country:US
Mailing Address - Phone:563-599-1454
Mailing Address - Fax:563-584-2321
Practice Address - Street 1:700 LOCUST ST
Practice Address - Street 2:SUITE 718 DUBUQUE BUILDING
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6838
Practice Address - Country:US
Practice Address - Phone:563-599-1454
Practice Address - Fax:563-584-2321
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor