Provider Demographics
NPI:1407087596
Name:DILALLO, MEAGHAN ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:MEAGHAN
Middle Name:ELIZABETH
Last Name:DILALLO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 MAIN STREET, SUITE 2 A
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1469
Mailing Address - Country:US
Mailing Address - Phone:508-456-6287
Mailing Address - Fax:844-766-2013
Practice Address - Street 1:115 MAIN STREET, SUITE 2 A
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1469
Practice Address - Country:US
Practice Address - Phone:508-456-6287
Practice Address - Fax:844-766-2013
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9812103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical