Provider Demographics
NPI:1730220781
Name:STRIEPE, MEG IRENE (PHD)
Entity type:Individual
Prefix:DR
First Name:MEG
Middle Name:IRENE
Last Name:STRIEPE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70A JUNCTION SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-3049
Mailing Address - Country:US
Mailing Address - Phone:978-371-7997
Mailing Address - Fax:978-371-7997
Practice Address - Street 1:70A JUNCTION SQUARE DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-3049
Practice Address - Country:US
Practice Address - Phone:978-371-7997
Practice Address - Fax:978-371-7997
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8058103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAST W51181Medicare ID - Type Unspecified