Healthcare Provider Details

I. General information

NPI: 1720844186
Provider Name (Legal Business Name): MEGHAN C NALLY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 S DELAWARE AVE STE 204C
YARDLEY PA
19067-1524
US

IV. Provider business mailing address

2023 CHATHAM DR
BENSALEM PA
19020-4477
US

V. Phone/Fax

Practice location:
  • Phone: 267-326-9882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017974
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: