Doctor Name: | MISS MEREDITH CANTY ANDERSON |
NPI Number: | 1003124496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C006485 |
Business Practice Address: | 2512 Wingdale Dr Charlotte, NC - 282135267 |
Business Phone Number: | 8432306359 |
Business Fax Number: | |
Mailing Address: | 2512 Wingdale Dr, CHARLOTTE |
State: | NC |
Postal Code: | 282135267 |
Phone Number: | 8432306359 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2010 |
NPI Last Update Date: | 11/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C006485 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |