Provider Demographics
NPI:1063661239
Name:MEGNA, BRIDGET E (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:E
Last Name:MEGNA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:FERRIS
Mailing Address - State:TX
Mailing Address - Zip Code:75125-2021
Mailing Address - Country:US
Mailing Address - Phone:972-842-3334
Mailing Address - Fax:972-544-2760
Practice Address - Street 1:203 W 5TH ST
Practice Address - Street 2:
Practice Address - City:FERRIS
Practice Address - State:TX
Practice Address - Zip Code:75125-2021
Practice Address - Country:US
Practice Address - Phone:972-842-3334
Practice Address - Fax:972-544-2760
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9507101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional