Provider Demographics
NPI:1528038304
Name:HASSON, MEREDITH ANN KEENAN (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:ANN KEENAN
Last Name:HASSON
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:MS
Other - First Name:MEREDITH
Other - Middle Name:ANN
Other - Last Name:KEENAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:52 HIGHLAND MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-6509
Mailing Address - Country:US
Mailing Address - Phone:401-523-6751
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS