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Provider Information for 1538791322


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MEREDITH ROBERTS LGPC


Sex: Female

NPI: 1538791322
Last Updated: 2020-02-10
Certification Date: 2020-02-10

Details

NameValue
NPI1538791322
Enumeration Date2020-02-10
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 520 W LOMBARD ST
BALTIMORE, MD 21201-1603
United States

Phone: 410-706-5738 | Fax:
 
Primary Practice Address 520 W LOMBARD ST
BALTIMORE, MD 21201-1603
United States

Phone: 410-706-5738 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor MDLGP10175