Healthcare Provider Details

I. General information

NPI: 1497909485
Provider Name (Legal Business Name): MEREDITH CAITLIN CONNOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 06/10/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 ANTRIM RD
HILLSBORO NH
03244-5250
US

IV. Provider business mailing address

15 ANTRIM ROAD
HILLSBORO NH
03244
US

V. Phone/Fax

Practice location:
  • Phone: 603-464-3434
  • Fax:
Mailing address:
  • Phone: 603-464-3434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number60885
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2680
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: