Provider Demographics
NPI:1437988219
Name:MCLINN MEYER, JADE LYNN
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:LYNN
Last Name:MCLINN MEYER
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 1:1600 W 5TH ST APT 38D
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-6545
Mailing Address - Country:US
Mailing Address - Phone:805-366-7498
Mailing Address - Fax:
Practice Address - Street 1:1600 W 5TH ST APT 38D
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-6545
Practice Address - Country:US
Practice Address - Phone:805-366-7498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician