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NPI Code Detail

MEDICARE: DR. MEAGHAN ELIZABETH DILALLO PH.D.

MEDICARE: DR. MEAGHAN ELIZABETH DILALLO PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist9812MA

General Provider Information

NPI Number : 1407087596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEAGHAN ELIZABETH DILALLO PH.D.
Provider Business Mailing Address
First Line : 115 MAIN STREET, SUITE 2 A
Second Line :
City : EASTON
State : MA
Zip : 02356-1469
Country : US
Telephone Number : 508-456-6287
Fax Number : 844-766-2013
Provider Business Practice Location Address
First Line : 115 MAIN STREET, SUITE 2 A
Second Line :
City : EASTON
State : MA
Zip : 02356-1469
Country : US
Telephone Number : 508-456-6287
Fax Number : 844-766-2013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2009
Last Update Date : 05/09/2024

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