MEDICARE: DR. MEG MARIE CORRIGAN M.D.

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	2084P0804X	Child & Adolescent Psychiatry Physician	2006008738	MO

General Provider Information

NPI Number	:	1811070352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEG MARIE CORRIGAN M.D.

Provider Business Mailing Address
First Line	:	3165 MCKELVEY RD
Second Line	:	SUITE 200 BJC BEHAVIORAL HEALTH NORTH;
City	:	BRIDGETON
State	:	MO
Zip	:	63044
Country	:	US
Telephone Number	:	314-206-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	3165 MCKELVEY RD
Second Line	:	SUITE 200 BJC BEHAVIORAL HEALTH NORTH
City	:	BRIDGETON
State	:	MO
Zip	:	63044
Country	:	US
Telephone Number	:	314-206-3900
Fax Number	:

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	09/05/2008

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