Provider Demographics
NPI:1558796250
Name:WAYNE, MEGHAN J (CGC,MS)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:J
Last Name:WAYNE
Suffix:
Gender:F
Credentials:CGC,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1446
Mailing Address - Country:US
Mailing Address - Phone:781-729-9000
Mailing Address - Fax:781-756-8380
Practice Address - Street 1:620 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-1328
Practice Address - Country:US
Practice Address - Phone:781-756-5000
Practice Address - Fax:781-756-8380
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAGC175170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS