Provider Demographics
NPI:1265302434
Name:DELLACROSSE, MEGHAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:DELLACROSSE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 GLADSTONE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ANDES
Mailing Address - State:NY
Mailing Address - Zip Code:13731-2000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:82 GLADSTONE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:ANDES
Practice Address - State:NY
Practice Address - Zip Code:13731-2000
Practice Address - Country:US
Practice Address - Phone:646-853-1760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048.0135265103TC0700X
NY026835103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical