Healthcare Provider Details

I. General information

NPI: 1992624753
Provider Name (Legal Business Name): MEREDITH DUQUIN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEREDITH MILLER LMHC

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 RAND AVE
BUFFALO NY
14216-3315
US

IV. Provider business mailing address

60 RAND AVE
BUFFALO NY
14216-3315
US

V. Phone/Fax

Practice location:
  • Phone: 716-609-2283
  • Fax:
Mailing address:
  • Phone: 716-609-2283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number007355-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: