Provider Demographics
NPI:1871720573
Name:MEEKER, EDWARD L (PHD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:L
Last Name:MEEKER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95946-0053
Mailing Address - Country:US
Mailing Address - Phone:559-804-8005
Mailing Address - Fax:
Practice Address - Street 1:17612 PENN VALLEY DR # 53
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95946-9998
Practice Address - Country:US
Practice Address - Phone:559-804-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-19
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist