Provider Demographics
NPI:1447572144
Name:MERIWETHER, CARLYN JACQUES (MA,MS)
Entity Type:Individual
Prefix:
First Name:CARLYN
Middle Name:JACQUES
Last Name:MERIWETHER
Suffix:
Gender:F
Credentials:MA,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23090 POST GARDENS WAY
Mailing Address - Street 2:SUITE 321
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7108
Mailing Address - Country:US
Mailing Address - Phone:954-980-0888
Mailing Address - Fax:
Practice Address - Street 1:23090 POST GARDENS WAY
Practice Address - Street 2:SUITE 321
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7108
Practice Address - Country:US
Practice Address - Phone:954-980-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor