Provider Demographics
NPI:1336976091
Name:HALLISEY, MERIDITH E (CARC)
Entity type:Individual
Prefix:MRS
First Name:MERIDITH
Middle Name:E
Last Name:HALLISEY
Suffix:
Gender:F
Credentials:CARC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 PURCHASE ST STE 308
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6234
Mailing Address - Country:US
Mailing Address - Phone:617-429-8891
Mailing Address - Fax:
Practice Address - Street 1:908 PURCHASE ST STE 308
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6234
Practice Address - Country:US
Practice Address - Phone:617-429-8891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist