Provider Demographics
NPI:1497743306
Name:MEALER, CYNTHIA ZIEGLER (PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ZIEGLER
Last Name:MEALER
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:PO BOX 382801
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-2801
Mailing Address - Country:US
Mailing Address - Phone:901-833-1746
Mailing Address - Fax:901-756-5927
Practice Address - Street 1:245 GERMANTOWN BEND CV
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-7238
Practice Address - Country:US
Practice Address - Phone:901-833-1746
Practice Address - Fax:901-756-5927
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTNPOOOO1949103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3687002Medicaid
TN3687002Medicaid