MEDICARE: MEGAN MARIE TWOHIG

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	131874	CA

General Provider Information

NPI Number	:	1326797259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MARIE TWOHIG

Provider Business Mailing Address
First Line	:	26741 PORTOLA PKWY
Second Line	:	STE.1E #124
City	:	FOOTHILL RANCH
State	:	CA
Zip	:	92610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19126 MAGNOLIA ST STE 101
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-2249
Country	:	US
Telephone Number	:	949-324-2035
Fax Number	:

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

Provider Enumeration Date	:	03/19/2022
Last Update Date	:	03/19/2022

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