Provider Demographics
NPI:1285707075
Name:KOLODZE, MEREDITH ANNE (MSW, LICSW, OSW-C)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ANNE
Last Name:KOLODZE
Suffix:
Gender:F
Credentials:MSW, LICSW, OSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 LAFAYETTE RD UNIT 7
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1232
Mailing Address - Country:US
Mailing Address - Phone:603-777-2662
Mailing Address - Fax:
Practice Address - Street 1:861 LAFAYETTE RD UNIT 7
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1232
Practice Address - Country:US
Practice Address - Phone:603-777-2662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health