Provider Demographics
NPI:1043831456
Name:KAISER, MEGAN (THERAPY INTERN)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:KAISER
Suffix:
Gender:F
Credentials:THERAPY INTERN
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:GUILKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10608 N 32ND CIR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4212
Mailing Address - Country:US
Mailing Address - Phone:480-238-1027
Mailing Address - Fax:
Practice Address - Street 1:10608 N 32ND CIR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4212
Practice Address - Country:US
Practice Address - Phone:480-238-1027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health