| Doctor Name: | DR. MEREDITH LISA TANOWITZ |
| NPI Number: | 1023199866 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 015331-1 |
| Business Practice Address: | 245 N Broadway Suite 110 Sleepy Hollow, NY - 105912670 |
| Business Phone Number: | 9142991377 |
| Business Fax Number: | 9142389084 |
| Mailing Address: | 40 Spring Ln, CHAPPAQUA |
| State: | NY |
| Postal Code: | 105142608 |
| Phone Number: | 9142991377 |
| Fax Number: | 9142389084 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 015331-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |