Healthcare Provider Details

I. General information

NPI: 1386321396
Provider Name (Legal Business Name): MEGHAN ANNE YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N CHARLES ST
BALTIMORE MD
21201-5318
US

IV. Provider business mailing address

7474 GREENWAY CENTER DR STE 200
GREENBELT MD
20770-3524
US

V. Phone/Fax

Practice location:
  • Phone: 240-304-3327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: