Park, Megan Michelle

Park, Megan Michelle is an sole proprietor health care provider with primary practice located at 715 N Central Ave Suite 108, Glendale CA 91203-4262. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Park, Megan Michelle can be contacted via phone (323) 599-7668.

Contact Information

Primary practice address
715 N Central Ave Suite 108 Glendale CA 91203-4262
Phone: (323) 599-7668
Fax: (818) 484-8177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 44776 California

Profile Details

NPI number 1356472062
LBN Legal business name Park, Megan Michelle
Credentials M.A., LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Apr 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356472062 NPPES
California Other 9713251 AETNA
California Other MFT447760 AETNA

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