Healthcare Provider Details

I. General information

NPI: 1487735171
Provider Name (Legal Business Name): MEGAN URE MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W 5TH ST STE 590
SANTA ANA CA
92701-4519
US

IV. Provider business mailing address

PO BOX 7244
ORANGE CA
92863-7244
US

V. Phone/Fax

Practice location:
  • Phone: 714-935-6363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number41003
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: