MEDICARE: FRANCES A MEEHAN PSYD

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
1	103T00000X	Psychologist	PS008936L	PA

General Provider Information

NPI Number	:	1740257864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES A MEEHAN PSYD

Provider Business Mailing Address
First Line	:	220 COMMERCE DR
Second Line	:	SUITE 401
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2402
Country	:	US
Telephone Number	:	215-540-5860
Fax Number	:	215-540-5864

Provider Business Practice Location Address
First Line	:	630 FAIRVIEW RD
Second Line	:	SUITE 209
City	:	SWARTHMORE
State	:	PA
Zip	:	19081-2334
Country	:	US
Telephone Number	:	610-544-3660
Fax Number	:	610-544-3662

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	06/03/2009

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