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NPI Code Detail

MEDICARE: MS. MEGHAN GONYEA LCSW

MEDICARE: MS. MEGHAN GONYEA LCSW
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1508175423
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGHAN GONYEA LCSW
Provider Business Mailing Address
First Line : 31 GREEN ST
Second Line :
City : NEWBURYPORT
State : MA
Zip : 01950-2652
Country : US
Telephone Number : 413-537-9363
Fax Number :
Provider Business Practice Location Address
First Line : 31 GREEN ST
Second Line :
City : NEWBURYPORT
State : MA
Zip : 01950-2652
Country : US
Telephone Number : 413-537-9363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2010
Last Update Date : 03/06/2019

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