Provider Demographics
NPI:1720731045
Name:CLEARY, MEAGHAN ELIZABETH (LMHC)
Entity Type:Individual
Prefix:MS
First Name:MEAGHAN
Middle Name:ELIZABETH
Last Name:CLEARY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LINNAEAN ST APT 18
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1635
Mailing Address - Country:US
Mailing Address - Phone:774-262-7001
Mailing Address - Fax:
Practice Address - Street 1:15 LINNAEAN ST APT 18
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1635
Practice Address - Country:US
Practice Address - Phone:774-262-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11991101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health