Provider Demographics
NPI:1275884827
Name:DOWD MURRAY, MEGHAN COLLEEN (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:COLLEEN
Last Name:DOWD MURRAY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ALLSTON TER
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-3406
Mailing Address - Country:US
Mailing Address - Phone:413-204-2800
Mailing Address - Fax:
Practice Address - Street 1:15 ALLSTON TER
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3406
Practice Address - Country:US
Practice Address - Phone:413-204-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-23
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA217621101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health