Clerico, Meadow Marie

Clerico, Meadow Marie is an individual health care provider with primary practice located at 2463 E Gala St Ste 100 , Meridian ID 83642-5210. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Clerico, Meadow Marie can be contacted via phone (208) 955-7339.

Contact Information

Primary practice address
2463 E Gala St Ste 100 Meridian ID 83642-5210
Phone: (208) 955-7339
Fax: (208) 955-7330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Idaho
Behavioral Health & Social Service Providers / Psychologist 103T00000X Idaho

Profile Details

NPI number 1346974359
LBN Legal business name Clerico, Meadow Marie
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2022
Last updated Jul 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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