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NPI Code Detail

MEDICARE: MEGAN KRYSTINE RUEDA LMFT-ASSOCIATE

MEDICARE:   MEGAN KRYSTINE RUEDA  LMFT-ASSOCIATE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist203319TX

General Provider Information

NPI Number : 1003429069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN KRYSTINE RUEDA LMFT-ASSOCIATE
Provider Business Mailing Address
First Line : 2116 MARSH LN
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-4957
Country : US
Telephone Number : 469-396-6866
Fax Number :
Provider Business Practice Location Address
First Line : 6750 HILLCREST PLAZA DR STE 224
Second Line :
City : DALLAS
State : TX
Zip : 75230-1441
Country : US
Telephone Number : 469-396-6866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 08/28/2020

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Directions to “ MEGAN KRYSTINE RUEDA LMFT-ASSOCIATE” Practice Location

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