Provider Demographics
NPI:1427208834
Name:MCMILLAN, MEREDITH DUGGER (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:DUGGER
Last Name:MCMILLAN
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 KERRY FOREST PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-0201
Mailing Address - Country:US
Mailing Address - Phone:850-510-9744
Mailing Address - Fax:850-521-1973
Practice Address - Street 1:4820 KERRY FOREST PKWY STE A
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-0201
Practice Address - Country:US
Practice Address - Phone:850-510-9744
Practice Address - Fax:850-521-1973
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst