MEDICARE: MEGAN SUE KREUTZ

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1770251894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN SUE KREUTZ

Provider Business Mailing Address
First Line	:	9 BANKS AVE
Second Line	:
City	:	MCADOO
State	:	PA
Zip	:	18237-2508
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 WESTGATE DR
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17408-6361
Country	:	US
Telephone Number	:	717-862-9333
Fax Number	:

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

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	06/28/2023

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