| NPI | 1619602000 |
|---|---|
| Doing Business As | MERIDIAN PSYCHOTHERAPY ASSOCIATES LLC |
| Entity Type | Organization |
| Authorized Contact | PENNY TAVAR Managing Director 617-872-3612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-04-05 |