Provider Demographics
NPI:1053036228
Name:SINGLETON, MEGHAN MERRILL LANDERS (LMHC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:MERRILL LANDERS
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 THATCHER ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-4814
Mailing Address - Country:US
Mailing Address - Phone:203-273-0821
Mailing Address - Fax:
Practice Address - Street 1:30 THATCHER ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4814
Practice Address - Country:US
Practice Address - Phone:203-273-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13020-MH-CC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health