Provider Demographics
NPI:1801275557
Name:BUCHANAN, MEREDITH (MS)
Entity type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 W 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-1875
Mailing Address - Country:US
Mailing Address - Phone:907-382-5060
Mailing Address - Fax:
Practice Address - Street 1:581 E OUTER SPRINGER LOOP
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6778
Practice Address - Country:US
Practice Address - Phone:907-761-7225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2022-08-11
Deactivation Date:2017-01-06
Deactivation Code:
Reactivation Date:2022-08-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health