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NPI Code Detail

MEDICARE: MEGAN ELIZABETH MCDONNELL CT

MEDICARE: MEGAN ELIZABETH MCDONNELL CT
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
1101YM0800XMental Health CounselorE.2505547OH

General Provider Information

NPI Number : 1417689506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ELIZABETH MCDONNELL CT
Provider Business Mailing Address
First Line : 308 E REED AVE
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2031
Country : US
Telephone Number : 330-604-6062
Fax Number :
Provider Business Practice Location Address
First Line : 4352 W SYLVANIA AVE STE A
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3441
Country : US
Telephone Number : 419-561-5433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2022
Last Update Date : 07/22/2025

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