Most Relevant Information
Provider Data
| NPI Number: | 1003285149 |
| Provider Name: | MEGHAN SULLIVAN COLLOPY |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2015 |
| Last Updated: | 09/18/2015 |
Provider Practice Location
555 AMORY ST
JAMAICA PLAIN
MA
021302652
Practice Location Phone/Fax
| Phone: | 6173836522 |
| Fax: |
Provider Mailing Location
555 AMORY ST
JAMAICA PLAIN
MA
021302652
Provider Mailing Phone/Fax
| Phone: | 6173836522 |
| Fax: |