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Provider Information for 1750517579


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MEGHAN AILEEN GRANT HAYES


Sex: Female

NPI: 1750517579
Last Updated: 2024-04-30
Certification Date: 2024-04-30

Details

NameValue
NPI1750517579
Enumeration Date2009-06-08
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 18 FOREST AVE
CRANFORD, NJ 07016-2412
United States

Phone: 973-738-0433 | Fax:
 
Primary Practice Address 1205 ROUTE 35 STE 4
OCEAN, NJ 07712-4078
United States

Phone: 732-820-7338 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNJ44SC06230200