MEDICARE: MEGHAN C NALLY

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	221700000X	Art Therapist
2	101YP2500X	Professional Counselor	PC017974	PA

General Provider Information

NPI Number	:	1720844186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN C NALLY

Provider Business Mailing Address
First Line	:	2023 CHATHAM DR
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-4477
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 S DELAWARE AVE STE 204C
Second Line	:
City	:	YARDLEY
State	:	PA
Zip	:	19067-1524
Country	:	US
Telephone Number	:	267-326-9882
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2024
Last Update Date	:	01/21/2026

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Directions to “ MEGHAN C NALLY ” Practice Location

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