Healthcare Provider Details

I. General information

NPI: 1346152139
Provider Name (Legal Business Name): MEGAN OBRIEN CRAYNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 ANGELL ST
PROVIDENCE RI
02906-4414
US

IV. Provider business mailing address

741 PLEASANT ST
PAWTUCKET RI
02860-6130
US

V. Phone/Fax

Practice location:
  • Phone: 401-648-9441
  • Fax:
Mailing address:
  • Phone: 201-956-1095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT00027-A
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: