Provider Demographics
NPI:1417832072
Name:MEREDITH TUMILTY, PSYD LLC
Entity type:Organization
Organization Name:MEREDITH TUMILTY, PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:TUMILTY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:617-294-9809
Mailing Address - Street 1:17 CUTLER DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1210
Mailing Address - Country:US
Mailing Address - Phone:617-294-9808
Mailing Address - Fax:
Practice Address - Street 1:17 CUTLER DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-1210
Practice Address - Country:US
Practice Address - Phone:617-294-9808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty