Organization
MARLENE MEINELT, LICSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE MEINELT LICSW (PSYCHOTHERAPIST)
(413) 345-2991
Entity
Organization
Contact information
Practice address
409 MAIN ST, SUITE 122, AMHERST, MA 01002-2300
(413) 345-2991
Mailing address
409 MAIN ST, SUITE 122, AMHERST, MA 01002-2300
(413) 345-2991
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
111437
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111437
SOLO PRACTITIONER
MA
Enumeration date
08/29/2016
Last updated
08/29/2016
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