Healthcare Provider Details

I. General information

NPI: 1467586438
Provider Name (Legal Business Name): MEGAN BARR MA., ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6957 N FIGUEROA ST
LOS ANGELES CA
90042-1245
US

IV. Provider business mailing address

346 FOOTHILL AVE
SIERRA MADRE CA
91024-1518
US

V. Phone/Fax

Practice location:
  • Phone: 323-443-3159
  • Fax:
Mailing address:
  • Phone: 626-355-9468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number99-176
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: