Healthcare Provider Details

I. General information

NPI: 1639226897
Provider Name (Legal Business Name): VANESSA ALIMARIO MEREDITH M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 04/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 WASHINGTON RD STE 217
MC MURRAY PA
15317-2533
US

IV. Provider business mailing address

8 FOUR COINS DR
CANONSBURG PA
15317-1769
US

V. Phone/Fax

Practice location:
  • Phone: 724-914-1252
  • Fax:
Mailing address:
  • Phone: 724-579-3771
  • Fax: 724-356-2787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC001104
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberPC001104
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: