Provider Demographics
NPI:1952562712
Name:MEEHAN, CLAUDETTE C (LPC)
Entity type:Individual
Prefix:MRS
First Name:CLAUDETTE
Middle Name:C
Last Name:MEEHAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:CLAUDETTE
Other - Middle Name:Y
Other - Last Name:MEEHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:6 FAYSON LAKES ROAD
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-3126
Mailing Address - Country:US
Mailing Address - Phone:973-492-9406
Mailing Address - Fax:973-492-5129
Practice Address - Street 1:6 FAYSON LAKES ROAD
Practice Address - Street 2:
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-3126
Practice Address - Country:US
Practice Address - Phone:973-492-9406
Practice Address - Fax:973-492-5129
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00199600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health