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NPI Code Detail

MEDICARE: SUSAN MEREDITH MACDONALD LMHC

MEDICARE:   SUSAN MEREDITH MACDONALD  LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorMHC00454RI

General Provider Information

NPI Number : 1689966947
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MEREDITH MACDONALD LMHC
Provider Business Mailing Address
First Line : 1130 TEN ROD RD
Second Line : BLDG B-101
City : NORTH KINGSTOWN
State : RI
Zip : 02852-4161
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 78 BAROLAY DRIVE
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852
Country : US
Telephone Number : 401-575-2110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2011
Last Update Date : 12/23/2025

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Directions to “ SUSAN MEREDITH MACDONALD LMHC” Practice Location

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