Provider Demographics
NPI:1497183099
Name:MONTAGNA, MEGHAN (LPC)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:MONTAGNA
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 1:502 FERRIS LN
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5036
Mailing Address - Country:US
Mailing Address - Phone:215-205-8068
Mailing Address - Fax:
Practice Address - Street 1:502 FERRIS LN
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:PA
Practice Address - Zip Code:18901-5036
Practice Address - Country:US
Practice Address - Phone:215-205-8068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007143101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional