Provider Demographics
NPI:1376569897
Name:MILLER, MEGAN C (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:C
Last Name:MILLER
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 PHILADELPHIA ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3941
Mailing Address - Country:US
Mailing Address - Phone:724-465-2605
Mailing Address - Fax:724-465-2610
Practice Address - Street 1:665 PHILADELPHIA ST
Practice Address - Street 2:SUITE 202
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3941
Practice Address - Country:US
Practice Address - Phone:724-465-2605
Practice Address - Fax:724-465-2610
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional