1922432343 NPI number — MEGHAN ELIZABETH BUCHANAN LICSW

Table of content: MEGHAN ELIZABETH BUCHANAN LICSW (NPI 1922432343)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922432343 NPI number — MEGHAN ELIZABETH BUCHANAN LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUCHANAN
Provider First Name:
MEGHAN
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HULBERT
Provider Other First Name:
MEGHAN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1922432343
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
576 TREMONT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAUNTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02780-5106
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-424-3743
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
193 ROCKLAND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANOVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02339-2231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
339-666-1231
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)