Provider Demographics
NPI:1184035511
Name:MEISINGER, NATALIE (LIMITED-PERMIT MHC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:MEISINGER
Suffix:
Gender:F
Credentials:LIMITED-PERMIT MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 ACCABONAC RD
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937-1904
Mailing Address - Country:US
Mailing Address - Phone:631-324-3344
Mailing Address - Fax:631-324-6709
Practice Address - Street 1:328 ACCABONAC RD
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-1904
Practice Address - Country:US
Practice Address - Phone:631-324-3344
Practice Address - Fax:631-324-6709
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP92024101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor