Provider Demographics
NPI:1326580200
Name:WHEELER, MEGAN (PHD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:WHEELER
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 1:901 15TH ST NW
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-2327
Mailing Address - Country:US
Mailing Address - Phone:844-696-4636
Mailing Address - Fax:844-696-4636
Practice Address - Street 1:901 15TH ST NW
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2327
Practice Address - Country:US
Practice Address - Phone:844-696-4636
Practice Address - Fax:844-696-4636
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005515103TC0700X
DCPSYA00115174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No174400000XOther Service ProvidersSpecialist