Provider Demographics
NPI:1841889987
Name:MEADE, CECILY (MM, MT-BC)
Entity type:Individual
Prefix:
First Name:CECILY
Middle Name:
Last Name:MEADE
Suffix:
Gender:F
Credentials:MM, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2128 SPRINGFIELD CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-4219
Mailing Address - Country:US
Mailing Address - Phone:406-899-3198
Mailing Address - Fax:
Practice Address - Street 1:2128 SPRINGFIELD CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-4219
Practice Address - Country:US
Practice Address - Phone:406-899-3198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16328225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist