Provider Demographics
NPI:1801269048
Name:ANDREWS, MEREDITH LEIGH (MA, SSP, LPA, HSP-PA)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LEIGH
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MA, SSP, LPA, HSP-PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 W FIRE TOWER RD STE D
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-8408
Mailing Address - Country:US
Mailing Address - Phone:919-966-0211
Mailing Address - Fax:919-445-2356
Practice Address - Street 1:108 W FIRE TOWER RD STE D
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-8408
Practice Address - Country:US
Practice Address - Phone:252-830-3300
Practice Address - Fax:252-830-3322
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4880103TS0200X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool