Healthcare Provider Details

I. General information

NPI: 1477223618
Provider Name (Legal Business Name): MEGAN ASHLEY MAGUIRE PSY.D., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2021
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16405 SAND CANYON AVE STE 220
IRVINE CA
92618-3787
US

IV. Provider business mailing address

16405 SAND CANYON AVE STE 220
IRVINE CA
92618-3787
US

V. Phone/Fax

Practice location:
  • Phone: 949-336-8150
  • Fax:
Mailing address:
  • Phone: 949-336-8150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number94027426
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: