Provider Demographics
NPI:1548496334
Name:CAVALLARO, MEAGHAN MARY (DC)
Entity type:Individual
Prefix:DR
First Name:MEAGHAN
Middle Name:MARY
Last Name:CAVALLARO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MEAGHAN
Other - Middle Name:MARY
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:110 HAVERHILL RD UNIT 454
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2123
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 HAVERHILL RD UNIT 454
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2123
Practice Address - Country:US
Practice Address - Phone:978-358-8184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-07
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9705111N00000X
MA3231111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor