Provider Demographics
NPI:1033312509
Name:ENGEBRETSON, MEREDITH D (MA)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:D
Last Name:ENGEBRETSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:D
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 N 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-5040
Mailing Address - Country:US
Mailing Address - Phone:717-273-1710
Mailing Address - Fax:717-273-1416
Practice Address - Street 1:938 PENN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602
Practice Address - Country:US
Practice Address - Phone:610-478-8088
Practice Address - Fax:610-478-4884
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor