Provider Demographics
NPI:1861953515
Name:MEEDS, MARIA (MT-BC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:MEEDS
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3560 W SAN JOSE AVE APT 109
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-6686
Mailing Address - Country:US
Mailing Address - Phone:651-354-3494
Mailing Address - Fax:
Practice Address - Street 1:3560 W SAN JOSE AVE APT 109
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6686
Practice Address - Country:US
Practice Address - Phone:651-354-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist