Doctor Name: | MS. MEREDITH MAHONEY |
NPI Number: | 1033351747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | 368734 |
Business Practice Address: | 68 Vanderbilt Avenue Norwood, MA - 02062 |
Business Phone Number: | 7812555501 |
Business Fax Number: | 7812556915 |
Mailing Address: | 68 Vanderbilt Avenue, NORWOOD |
State: | MA |
Postal Code: | 02062 |
Phone Number: | 7812555501 |
Fax Number: | 7812556915 |
NPI Enumeration Date: | 03/26/2009 |
NPI Last Update Date: | 03/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 368734 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |