Provider Demographics
NPI:1245022987
Name:GRANT, MEGHAN EMILY
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:EMILY
Last Name:GRANT
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 BETHPAGE DR
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-2328
Mailing Address - Country:US
Mailing Address - Phone:475-399-4003
Mailing Address - Fax:
Practice Address - Street 1:32 BETHPAGE DR
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-2328
Practice Address - Country:US
Practice Address - Phone:475-399-4003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician