Provider Demographics
NPI:1518225101
Name:HAMEL, MEREDITH J (MLADC)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:J
Last Name:HAMEL
Suffix:
Gender:F
Credentials:MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 FOGARTY RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-3515
Mailing Address - Country:US
Mailing Address - Phone:603-664-2215
Mailing Address - Fax:
Practice Address - Street 1:15 FOGARTY RD
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-3515
Practice Address - Country:US
Practice Address - Phone:603-380-6821
Practice Address - Fax:603-664-2215
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1187101YA0400X
NH2831101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3101886Medicaid