Provider Demographics
NPI:1437493368
Name:SCHLUDE, MEGAN MARIE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:MARIE
Last Name:SCHLUDE
Suffix:
Gender:F
Credentials:MA, LPC
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Mailing Address - Street 1:908 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:PROSPECT PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19076-2014
Mailing Address - Country:US
Mailing Address - Phone:910-200-3163
Mailing Address - Fax:
Practice Address - Street 1:615 SHIPYARD BLVD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-6431
Practice Address - Country:US
Practice Address - Phone:910-202-5709
Practice Address - Fax:910-202-9966
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2020-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC4366103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1437493368OtherNPI NUMBER