Provider Demographics
NPI:1073797940
Name:PATRICK, MEGAN LOWRANCE (LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:LOWRANCE
Last Name:PATRICK
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 1:7714 WEXFORD HOLLOW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3987
Mailing Address - Country:US
Mailing Address - Phone:210-291-8089
Mailing Address - Fax:
Practice Address - Street 1:7714 WEXFORD HOLLOW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3987
Practice Address - Country:US
Practice Address - Phone:210-291-8089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19056101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health