Healthcare Provider Details

I. General information

NPI: 1467417766
Provider Name (Legal Business Name): BETH S MEISTER ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 WATSON RD SUITE #201
BELMONT MA
02478-3924
US

IV. Provider business mailing address

464 COMMON ST SUITE #259
BELMONT MA
02478-2704
US

V. Phone/Fax

Practice location:
  • Phone: 617-484-2894
  • Fax:
Mailing address:
  • Phone: 617-484-2894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number3222
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3222
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number3222
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number3222
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: