Provider Demographics
NPI:1710313366
Name:FOLEY, MEAGAN BLAIR (M ED)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:BLAIR
Last Name:FOLEY
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 METROPOLITAN AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02131-4643
Mailing Address - Country:US
Mailing Address - Phone:617-794-2131
Mailing Address - Fax:
Practice Address - Street 1:318 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02131-4643
Practice Address - Country:US
Practice Address - Phone:617-794-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-15
Last Update Date:2013-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health