Provider Demographics
NPI:1386781078
Name:HEDGES HERNANDEZ, MEREDITH A (M MFT)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:A
Last Name:HEDGES HERNANDEZ
Suffix:
Gender:F
Credentials:M MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 CANTERFIELD RD.
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403
Mailing Address - Country:US
Mailing Address - Phone:410-972-5128
Mailing Address - Fax:
Practice Address - Street 1:277 PENINSULA FARM RD
Practice Address - Street 2:STE J
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012
Practice Address - Country:US
Practice Address - Phone:410-975-0105
Practice Address - Fax:410-975-0108
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM207106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist