Healthcare Provider Details

I. General information

NPI: 1255874715
Provider Name (Legal Business Name): MEAGAN PADRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 08/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COPLAY PARKWAY SUITE 480
MORRISVILLE NC
27560-7423
US

IV. Provider business mailing address

8905 LANGWOOD DRIVE APT. 103
RALEIGH NC
27613
US

V. Phone/Fax

Practice location:
  • Phone: 919-677-0101
  • Fax: 888-608-9661
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6815
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: