Provider Demographics
NPI:1588731772
Name:MEEKS, CINDY JEAN (PSYD PY6247)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:JEAN
Last Name:MEEKS
Suffix:
Gender:F
Credentials:PSYD PY6247
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 SW GREENVILLE HILLS RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32331-3108
Mailing Address - Country:US
Mailing Address - Phone:850-948-4220
Mailing Address - Fax:
Practice Address - Street 1:950 SW GREENVILLE HILLS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:FL
Practice Address - Zip Code:32331-3108
Practice Address - Country:US
Practice Address - Phone:850-948-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6247103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist