Healthcare Provider Details

I. General information

NPI: 1407608334
Provider Name (Legal Business Name): MEAGAN HUGHES LPMT, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 10/13/2024
Certification Date: 10/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 CONDUIT AVE
BALTIMORE MD
21211-1706
US

IV. Provider business mailing address

3801 CONDUIT AVE
BALTIMORE MD
21211-1706
US

V. Phone/Fax

Practice location:
  • Phone: 443-602-0911
  • Fax:
Mailing address:
  • Phone: 443-602-0911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number00139
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: