Provider Demographics
NPI:1235680950
Name:PAUL, MEGAN (MS, LICSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:PAUL
Suffix:
Gender:F
Credentials:MS, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 441
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-0441
Mailing Address - Country:US
Mailing Address - Phone:520-235-4120
Mailing Address - Fax:
Practice Address - Street 1:20 AMYS LN
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-4030
Practice Address - Country:US
Practice Address - Phone:520-235-4120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490180761041C0700X
NH24421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical