Provider Demographics
NPI:1679115323
Name:DALY, MEGHAN MAY
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:MAY
Last Name:DALY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CONGRESS STREET
Mailing Address - Street 2:BLDG 2 SUITE 351A
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:978-524-7133
Mailing Address - Fax:978-524-7137
Practice Address - Street 1:35 CONGRESS STREET
Practice Address - Street 2:BLDG 2 SUITE 351A
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970
Practice Address - Country:US
Practice Address - Phone:978-524-7133
Practice Address - Fax:978-524-7137
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health