Healthcare Provider Details

I. General information

NPI: 1972367571
Provider Name (Legal Business Name): MEGAN ALYSSA YOUNG LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N WEST ST
DOYLESTOWN PA
18901-2366
US

IV. Provider business mailing address

1246 WHITNEY RD
SOUTHAMPTON PA
18966-3574
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-5300
  • Fax:
Mailing address:
  • Phone: 267-574-4072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016733
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: