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NPI Code Detail

MEDICARE: DR. MEGAN CHRISTIAN PSYD

MEDICARE: DR. MEGAN CHRISTIAN PSYD
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
1103T00000XPsychologist
2103TC0700XClinical Psychologist3223CO

General Provider Information

NPI Number : 1740347707
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGAN CHRISTIAN PSYD
Provider Business Mailing Address
First Line : 11285 HIGHLINE DR
Second Line :
City : NORTHGLENN
State : CO
Zip : 80233-3076
Country : US
Telephone Number : 303-853-3652
Fax Number :
Provider Business Practice Location Address
First Line : 10791 KITTY DR STE A
Second Line :
City : CONIFER
State : CO
Zip : 80433-7748
Country : US
Telephone Number : 720-292-0095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 06/19/2023

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