Provider Demographics
NPI:1225480387
Name:BRANNAN, MEGAN (PHD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BRANNAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2439 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1431
Mailing Address - Country:US
Mailing Address - Phone:832-245-0588
Mailing Address - Fax:
Practice Address - Street 1:2425 FOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 270
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4823
Practice Address - Country:US
Practice Address - Phone:940-231-1533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36670103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling