Healthcare Provider Details

I. General information

NPI: 1538075239
Provider Name (Legal Business Name): MEGAN SEM BAGGA MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 RIDGE AVE
PHILADELPHIA PA
19128-3757
US

IV. Provider business mailing address

4103 LAUREL DR
LAFAYETTE HILL PA
19444-1507
US

V. Phone/Fax

Practice location:
  • Phone: 215-482-1423
  • Fax:
Mailing address:
  • Phone: 610-451-5836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC019708
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: