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NPI Code Detail

MEDICARE: MEGAN HALSEMA

MEDICARE: MEGAN HALSEMA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1518779289
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN HALSEMA
Provider Business Mailing Address
First Line : 640 E MICHIGAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-0008
Country : US
Telephone Number : 937-266-0543
Fax Number :
Provider Business Practice Location Address
First Line : 1022 E 52ND ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1205
Country : US
Telephone Number : 317-584-5166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2025
Last Update Date : 01/21/2025

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Directions to “ MEGAN HALSEMA ” Practice Location

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