Provider Demographics
NPI:1053817114
Name:MEGYESI, BRIANNA M (LSW)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:M
Last Name:MEGYESI
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5164 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3471
Mailing Address - Country:US
Mailing Address - Phone:419-720-9585
Mailing Address - Fax:
Practice Address - Street 1:5164 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3471
Practice Address - Country:US
Practice Address - Phone:419-720-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical