Provider Demographics
NPI:1225899321
Name:MECZYWOR, MEGHAN ANN
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ANN
Last Name:MECZYWOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 E HOOSAC ST
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01220-1710
Mailing Address - Country:US
Mailing Address - Phone:413-841-8125
Mailing Address - Fax:
Practice Address - Street 1:59 E HOOSAC ST
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01220-1710
Practice Address - Country:US
Practice Address - Phone:413-841-8125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health