Provider Demographics
NPI:1457553232
Name:RON L. MEREDITH, PSY.D., P.C.
Entity type:Organization
Organization Name:RON L. MEREDITH, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEREDITH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:205-716-6700
Mailing Address - Street 1:300 VESTAVIA PARKWAY
Mailing Address - Street 2:STE 3200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3776
Mailing Address - Country:US
Mailing Address - Phone:205-716-6700
Mailing Address - Fax:205-716-6701
Practice Address - Street 1:300 VESTAVIA PARKWAY
Practice Address - Street 2:SUITE 3200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-3776
Practice Address - Country:US
Practice Address - Phone:205-716-6700
Practice Address - Fax:205-716-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL234103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty