Individual
MERIDETH P TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, ICADC
Contact information
Practice address
638 NEWTOWN YARDLEY RD STE 1F, NEWTOWN, PA 18940-1740
(215) 874-3636
Mailing address
49 PRINCETON CT, LANGHORNE, PA 19047-1644
(215) 932-6602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8823
PENNSYLVANIA CERTIFICATION BOARD
PA
Enumeration date
07/25/2018
Last updated
07/25/2018
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