Healthcare Provider Details

I. General information

NPI: 1831796739
Provider Name (Legal Business Name): MEGAN TOMLINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2020
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4102 PINION DR. USAF ACADEMY
COLORADO SPRINGS CO
80840
US

IV. Provider business mailing address

915 VALKENBURG DR
COLORADO SPRINGS CO
80907-4012
US

V. Phone/Fax

Practice location:
  • Phone: 707-363-4886
  • Fax:
Mailing address:
  • Phone: 77-363-4886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY.0006642
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number224692
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: