Provider Demographics
NPI:1477566602
Name:MEIRON, PATRICIA LOUISE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LOUISE
Last Name:MEIRON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:LAFAYETTE
Other - Last Name:MEIRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1502 NORTH FIRST ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-5602
Mailing Address - Country:US
Mailing Address - Phone:325-672-9999
Mailing Address - Fax:325-672-5237
Practice Address - Street 1:1502 NORTH FIRST ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5602
Practice Address - Country:US
Practice Address - Phone:325-672-9999
Practice Address - Fax:325-672-5237
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F1776Medicare ID - Type Unspecified