MEDICARE: MEGAN KUB PLLC

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
1	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1396696670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEGAN KUB PLLC

Provider Business Mailing Address
First Line	:	17177 N LAUREL PARK DR STE 131
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-3952
Country	:	US
Telephone Number	:	248-238-9856
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 WAVERLY AVE APT 3A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-2698
Country	:	US
Telephone Number	:	248-238-9856
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MEGAN M KUB
Credential	:
Telephone Number	:	617-316-6776

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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