Provider Information for 1629818984
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MERIDIAN ARTEMIS BRADY LMFT
Sex: Female
NPI: 1629818984
Last Updated: 2024-05-25
Certification Date: 2024-05-24
Certification Date: 2024-05-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1629818984 | ||||||||
| Enumeration Date | 2024-05-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 248 3RD ST # 720 OAKLAND, CA 94607-4375 United States Phone: 415-212-8680 | Fax: | ||||||||
| Primary Practice Address | 1135 GLENDORA AVE OAKLAND, CA 94602-1418 United States Phone: 415-212-8680 | Fax: | ||||||||
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