Provider Demographics
NPI:1518373430
Name:TWEH, MEAH KHRYSTEANA (MED ART THERAPIST)
Entity Type:Individual
Prefix:MISS
First Name:MEAH
Middle Name:KHRYSTEANA
Last Name:TWEH
Suffix:
Gender:F
Credentials:MED ART THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 SEWARD ST APT 303
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2443
Mailing Address - Country:US
Mailing Address - Phone:313-618-2038
Mailing Address - Fax:
Practice Address - Street 1:20995 BOURNEMOUTH
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225
Practice Address - Country:US
Practice Address - Phone:734-729-7933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other