Healthcare Provider Details

I. General information

NPI: 1295323210
Provider Name (Legal Business Name): MEGAN ELIZABETH CRULL LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 CHIEF JUSTICE CUSHING HWY
COHASSET MA
02025-2124
US

IV. Provider business mailing address

70 NORTHFIELD DR
BRIDGEWATER MA
02324-1249
US

V. Phone/Fax

Practice location:
  • Phone: 857-271-2098
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10002820
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: