Provider Demographics
NPI:1174695811
Name:WHITTEMORE, MEGHANN LOUISE (MSW)
Entity type:Individual
Prefix:
First Name:MEGHANN
Middle Name:LOUISE
Last Name:WHITTEMORE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 PROVIDENCE PIKE
Mailing Address - Street 2:
Mailing Address - City:PUTNAM
Mailing Address - State:CT
Mailing Address - Zip Code:06260-2526
Mailing Address - Country:US
Mailing Address - Phone:860-928-2212
Mailing Address - Fax:860-909-0078
Practice Address - Street 1:225 PROVIDENCE PIKE
Practice Address - Street 2:
Practice Address - City:PUTNAM
Practice Address - State:CT
Practice Address - Zip Code:06260-2526
Practice Address - Country:US
Practice Address - Phone:860-928-2212
Practice Address - Fax:860-909-0078
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical