Provider Demographics
NPI:1952502445
Name:MEALER PSYCHOLOGICAL,PLLC
Entity Type:Organization
Organization Name:MEALER PSYCHOLOGICAL,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ZIEGLER
Authorized Official - Last Name:MEALER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:901-833-1746
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 1:1037 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1838103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Single Specialty