MEDICARE: MEGAN LYNN MEYERHOFER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	1130-124	WI

General Provider Information

NPI Number	:	1063893667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN LYNN MEYERHOFER LMFT

Provider Business Mailing Address
First Line	:	1263 MAIN ST STE 122
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54302-1341
Country	:	US
Telephone Number	:	920-315-8643
Fax Number	:	920-214-1274

Provider Business Practice Location Address
First Line	:	1263 MAIN ST STE 122
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54302-1341
Country	:	US
Telephone Number	:	920-315-8643
Fax Number	:	920-214-1274

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	08/25/2025

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