Provider Demographics
NPI:1437592912
Name:CHONG, MEGAN ALYSSA (LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ALYSSA
Last Name:CHONG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-4404
Mailing Address - Country:US
Mailing Address - Phone:814-807-0861
Mailing Address - Fax:814-807-0863
Practice Address - Street 1:435 CHESTNUT ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-4404
Practice Address - Country:US
Practice Address - Phone:814-807-0861
Practice Address - Fax:814-807-0863
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional