Provider Demographics
NPI:1467028803
Name:MERKLEY, MEGAN J (MFT-LP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:J
Last Name:MERKLEY
Suffix:
Gender:F
Credentials:MFT-LP
Other - Prefix:MRS
Other - First Name:MEGAN
Other - Middle Name:J
Other - Last Name:MERKLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MEGAN MERKLEY MFT-LP
Mailing Address - Street 1:615 MANHATTAN AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-3919
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:148 WILSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-8042
Practice Address - Country:US
Practice Address - Phone:347-474-8464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist