Provider Demographics
NPI:1427133610
Name:CRAIG, MEREDITH RING (MFT)
Entity type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:RING
Last Name:CRAIG
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:RING
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3616 ARIZONA ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-4014
Mailing Address - Country:US
Mailing Address - Phone:858-752-0546
Mailing Address - Fax:858-720-9066
Practice Address - Street 1:3616 ARIZONA ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-4014
Practice Address - Country:US
Practice Address - Phone:858-752-0546
Practice Address - Fax:858-752-0546
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT41354106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFT41354OtherLICENSE