Provider Demographics
NPI:1669773149
Name:HARRON, MEREDITH L
Entity type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:L
Last Name:HARRON
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 1:119 COLLEGE AVE APT 45
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-1950
Mailing Address - Country:US
Mailing Address - Phone:617-623-9957
Mailing Address - Fax:
Practice Address - Street 1:119 COLLEGE AVE APT 45
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-1950
Practice Address - Country:US
Practice Address - Phone:617-623-9957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health