Provider Demographics
NPI:1497908685
Name:MCCOY, MEGAN ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ANN
Last Name:MCCOY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:ANN
Other - Last Name:MCRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1443 HIGHWAY 1 S
Mailing Address - Street 2:
Mailing Address - City:LUGOFF
Mailing Address - State:SC
Mailing Address - Zip Code:29078-9460
Mailing Address - Country:US
Mailing Address - Phone:803-708-0902
Mailing Address - Fax:
Practice Address - Street 1:1443 HIGHWAY 1 S
Practice Address - Street 2:
Practice Address - City:LUGOFF
Practice Address - State:SC
Practice Address - Zip Code:29078-9460
Practice Address - Country:US
Practice Address - Phone:803-708-0902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor