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NPI Code Detail

MEDICARE: MEGAN ELIZABETH MEYER M.S.

MEDICARE: MEGAN ELIZABETH MEYER M.S.
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
1101YP2500XProfessional Counselor1444MN

General Provider Information

NPI Number : 1164960811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ELIZABETH MEYER M.S.
Provider Business Mailing Address
First Line : 8980 ZACHARY LN N
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-4018
Country : US
Telephone Number : 612-695-3043
Fax Number :
Provider Business Practice Location Address
First Line : 8980 ZACHARY LN N
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-4018
Country : US
Telephone Number : 612-695-3043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2017
Last Update Date : 03/22/2024

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