Organization
MARLA P. MEYER, LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA P. MEYER MSW, LICSW (CLINICAL SOCIAL WORKER)
(781) 576-0860
Entity
Organization
Contact information
Practice address
237 WASHINGTON ST FL 2, MARBLEHEAD, MA 01945-3334
(781) 576-0860
Mailing address
PO BOX 249, MARBLEHEAD, MA 01945-0249
(781) 576-0860
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110158712A
—
MA
01
—
14371402
CAQH
MA
05
—
1669950267
—
MA
Enumeration date
04/12/2019
Last updated
03/28/2023
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