Healthcare Provider Details

I. General information

NPI: 1023361136
Provider Name (Legal Business Name): MEGAN LEIGH DOYLE LPCMH,NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2012
Last Update Date: 03/05/2023
Certification Date: 03/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BRANDYWINE BLVD
TALLEYVILLE DE
19803-1838
US

IV. Provider business mailing address

19 BRANDYWINE BLVD
TALLEYVILLE DE
19803-1838
US

V. Phone/Fax

Practice location:
  • Phone: 302-703-7779
  • Fax: 302-467-2920
Mailing address:
  • Phone: 302-703-7779
  • Fax: 302-467-2920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0000614
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC0000614
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: