Healthcare Provider Details

I. General information

NPI: 1528038304
Provider Name (Legal Business Name): MEREDITH ANN KEENAN HASSON MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEREDITH ANN KEENAN MS, CGC

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BINNEY ST
BOSTON MA
02115-6013
US

IV. Provider business mailing address

52 HIGHLAND MEADOW DR
NORTH ATTLEBORO MA
02760-6509
US

V. Phone/Fax

Practice location:
  • Phone: 617-632-4889
  • Fax:
Mailing address:
  • Phone: 401-523-6751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: