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NPI Code Detail

MEDICARE: MRS. MEGAN A COLLINS LMFT, ATR-P

MEDICARE: MRS. MEGAN A COLLINS LMFT, ATR-P
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
1225400000XRehabilitation Practitioner
2106H00000XMarriage & Family Therapist151021CA
3221700000XArt Therapist24-101

General Provider Information

NPI Number : 1275878662
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN A COLLINS LMFT, ATR-P
Provider Business Mailing Address
First Line : 9461 CHARLEVILLE BLVD STE 1185
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90212-3017
Country : US
Telephone Number : 424-209-7172
Fax Number :
Provider Business Practice Location Address
First Line : 20501 VENTURA BLVD STE 170
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-6258
Country : US
Telephone Number : 818-579-5693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2012
Last Update Date : 12/15/2024

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