Provider Demographics
NPI:1275662892
Name:AUGUSTINE, MEGHAN CATHERINE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:CATHERINE
Last Name:AUGUSTINE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:MEGHAN
Other - Middle Name:CATHERINE
Other - Last Name:BUSATERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:135 WESTFIELD CT
Mailing Address - Street 2:APT #319
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5073
Mailing Address - Country:US
Mailing Address - Phone:414-840-7150
Mailing Address - Fax:
Practice Address - Street 1:511 8TH ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3093
Practice Address - Country:US
Practice Address - Phone:931-920-7334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker