Provider Demographics
NPI:1891911897
Name:MCCABE, MEREDITH ALISON (LPC)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:ALISON
Last Name:MCCABE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 MAIN ST.
Mailing Address - Street 2:PO BOX 197
Mailing Address - City:CROSSWICKS
Mailing Address - State:NJ
Mailing Address - Zip Code:08515
Mailing Address - Country:US
Mailing Address - Phone:609-324-1949
Mailing Address - Fax:
Practice Address - Street 1:270 CHAMBERSBRIDGE RD
Practice Address - Street 2:SUITE 10
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-2805
Practice Address - Country:US
Practice Address - Phone:732-320-2700
Practice Address - Fax:732-262-0707
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00348400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional