Provider Demographics
NPI:1104025758
Name:WILLEMS, MEGAN BARTSCH (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:BARTSCH
Last Name:WILLEMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6862 ELM ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3897
Mailing Address - Country:US
Mailing Address - Phone:703-942-6101
Mailing Address - Fax:703-663-9860
Practice Address - Street 1:6862 ELM ST
Practice Address - Street 2:SUITE 230
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3897
Practice Address - Country:US
Practice Address - Phone:703-942-6101
Practice Address - Fax:703-663-9860
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2010-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2321172084P0804X, 2084P0800X
VA01012469072084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry