Provider Demographics
NPI:1407383797
Name:CONROY, MEGGAN (MFT)
Entity Type:Individual
Prefix:MS
First Name:MEGGAN
Middle Name:
Last Name:CONROY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 THAYER ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:HIGGANUM
Mailing Address - State:CT
Mailing Address - Zip Code:06441-4027
Mailing Address - Country:US
Mailing Address - Phone:860-301-3915
Mailing Address - Fax:
Practice Address - Street 1:50 ROCKWELL RD
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-5526
Practice Address - Country:US
Practice Address - Phone:860-621-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist