Provider Demographics
NPI:1447590997
Name:CHO, MEG EU (EDD)
Entity Type:Individual
Prefix:DR
First Name:MEG
Middle Name:EU
Last Name:CHO
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:MRS
Other - First Name:MEG
Other - Middle Name:CHO
Other - Last Name:ERVIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6035 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1414
Mailing Address - Country:US
Mailing Address - Phone:916-863-1825
Mailing Address - Fax:
Practice Address - Street 1:300 PRISON RD
Practice Address - Street 2:
Practice Address - City:REPRESA
Practice Address - State:CA
Practice Address - Zip Code:95671-3001
Practice Address - Country:US
Practice Address - Phone:916-995-0573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15788103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist