Provider Demographics
NPI:1205606035
Name:BARBIERI, MEREDITH JOY
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:JOY
Last Name:BARBIERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:JOY
Other - Last Name:BRUNEAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10311 NE HIGHWAY 99 # 16
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-5978
Mailing Address - Country:US
Mailing Address - Phone:360-891-2000
Mailing Address - Fax:360-891-9543
Practice Address - Street 1:10311 NE HIGHWAY 99
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-5978
Practice Address - Country:US
Practice Address - Phone:360-891-2000
Practice Address - Fax:360-891-9543
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61470338103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty