Provider Demographics
NPI:1043759608
Name:SINCLAIR, MEREDITH
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 PINE TREE RD NE
Mailing Address - Street 2:1119
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5670
Mailing Address - Country:US
Mailing Address - Phone:814-571-7713
Mailing Address - Fax:
Practice Address - Street 1:2700 PINE TREE RD NE
Practice Address - Street 2:1119
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-5670
Practice Address - Country:US
Practice Address - Phone:814-571-7713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician