Healthcare Provider Details

I. General information

NPI: 1790423556
Provider Name (Legal Business Name): MEREDITH BEREY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEREDITH SPEARS

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CHAPMAN ST UNIT 203
CANTON MA
02021-2040
US

IV. Provider business mailing address

500 CHAPMAN ST UNIT 203
CANTON MA
02021-2040
US

V. Phone/Fax

Practice location:
  • Phone: 781-828-2418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: