Healthcare Provider Details

I. General information

NPI: 1457247850
Provider Name (Legal Business Name): MEGAN P KUTZ M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 W UWCHLAN AVE
DOWNINGTOWN PA
19335-3319
US

IV. Provider business mailing address

640 LANCASTER CT
DOWNINGTOWN PA
19335-4220
US

V. Phone/Fax

Practice location:
  • Phone: 610-269-2661
  • Fax:
Mailing address:
  • Phone: 475-201-6730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: