Basic Information
Provider Information
NPI: 1629152426
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUFF
FirstName: MEGHAN
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: PSY.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 859 WILLARD ST
Address2: SUITE 430
City: QUINCY
State: MA
PostalCode: 021697482
CountryCode: US
TelephoneNumber: 6177741035
FaxNumber: 6174719859
Practice Location
Address1: 859 WILLARD ST
Address2: SUITE 430
City: QUINCY
State: MA
PostalCode: 021697482
CountryCode: US
TelephoneNumber: 6177741035
FaxNumber: 6174719859
Other Information
ProviderEnumerationDate: 10/25/2006
LastUpdateDate: 11/16/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X8874MAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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