Provider Demographics
NPI:1235532185
Name:TERRY, MEAGAN (NCC, MFT CAND)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:TERRY
Suffix:
Gender:F
Credentials:NCC, MFT CAND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1714
Mailing Address - Country:US
Mailing Address - Phone:303-495-4141
Mailing Address - Fax:
Practice Address - Street 1:1525 SHERMAN STREET
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202
Practice Address - Country:US
Practice Address - Phone:303-495-4141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist