Provider Demographics
NPI:1154464303
Name:O'BANION, MEGAN GALLOWAY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:GALLOWAY
Last Name:O'BANION
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7059 SAN MIGUEL AVE
Mailing Address - Street 2:
Mailing Address - City:LEMON GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:91945-2102
Mailing Address - Country:US
Mailing Address - Phone:619-589-8296
Mailing Address - Fax:619-461-4518
Practice Address - Street 1:7059 SAN MIGUEL AVE
Practice Address - Street 2:
Practice Address - City:LEMON GROVE
Practice Address - State:CA
Practice Address - Zip Code:91945-2102
Practice Address - Country:US
Practice Address - Phone:619-589-8296
Practice Address - Fax:619-461-4518
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23744103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical