Provider Demographics
NPI:1558359463
Name:MEALER, WILLIAM FLEMING (EDD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FLEMING
Last Name:MEALER
Suffix:
Gender:M
Credentials:EDD
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:901-763-4357
Mailing Address - Fax:901-767-4728
Practice Address - Street 1:1037 CRESTHAVEN RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3833
Practice Address - Country:US
Practice Address - Phone:901-763-4357
Practice Address - Fax:901-767-4728
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTNP00001838103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3684738Medicaid
TN3684738Medicare ID - Type Unspecified