Most Relevant Information
Provider Data
| NPI Number: | 1003466749 |
| Provider Name: | NICOLA AELISH MEADE PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP1600X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/15/2019 |
| Last Updated: | 09/15/2019 |
Provider Practice Location
915 RUSSELL AVE STE B
GAITHERSBURG
MD
208796200
Practice Location Phone/Fax
| Phone: | 2026704869 |
| Fax: |
Provider Mailing Location
133 W GOVERNMENT AVE APT B
NORFOLK
VA
235032905
Provider Mailing Phone/Fax
| Phone: | 9712175731 |
| Fax: |