Provider Demographics
NPI:1225079403
Name:MCCARRAN, MEREDITH S (PHD)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:S
Last Name:MCCARRAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:42 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-3303
Mailing Address - Country:US
Mailing Address - Phone:413-256-3474
Mailing Address - Fax:888-242-7440
Practice Address - Street 1:184 NORTHAMPTON ST
Practice Address - Street 2:STE B
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1049
Practice Address - Country:US
Practice Address - Phone:413-527-3095
Practice Address - Fax:413-529-9990
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA4822103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA305592OtherMAGELLAN
MA0520233Medicaid
MA14258OtherHEALTH NEW ENGLAND
MAMC W04602OtherBLUE CROSS BLUE SHIELD
MA0520233Medicaid