Provider Demographics
NPI:1861776098
Name:SASSO, MEGHAN E
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:E
Last Name:SASSO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MEGHAN
Other - Middle Name:E
Other - Last Name:SASSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:M
Mailing Address - Street 1:780 ALBANY ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2524
Mailing Address - Country:US
Mailing Address - Phone:857-654-1000
Mailing Address - Fax:
Practice Address - Street 1:17 COURT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108
Practice Address - Country:US
Practice Address - Phone:617-371-1730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health