Healthcare Provider Details

I. General information

NPI: 1821221482
Provider Name (Legal Business Name): MEGHAN LEIGH O'LEARY M.A., B.A. IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2009
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WASHINGTON ST
TAUNTON MA
02780-3960
US

IV. Provider business mailing address

1 WASHINGTON ST
TAUNTON MA
02780-3960
US

V. Phone/Fax

Practice location:
  • Phone: 508-823-5400
  • Fax: 508-828-9146
Mailing address:
  • Phone: 508-823-5400
  • Fax: 508-828-9146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: