Organization · Type 2 NPI

Meridian Advanced Psychiatry , LLC

Addiction Medicine (Psychiatry & Neurology) Physician · Meridan, ID

NPI number 1609412683 Active

Practice location

1672 S Woodsage Ave.
Meridan, ID 83642

Fax (208) 515-2274

Mailing address

1672 S Woodsage Avenue, Suite #120
Meridan, ID 83642

Other practice locations

  • 1660 S Woodsage Ave, Meridian, ID 83642-7670 · (208) 515-2273

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

About NPI 1609412683

Meridian Advanced Psychiatry , LLC's National Provider Identifier is 1609412683, issued on Nov 25, 2019. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Meridan, ID. The record was last updated on May 12, 2020.