Provider Demographics
NPI:1558032888
Name:PEUGEOT, MEGAN A (EDD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:A
Last Name:PEUGEOT
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 WAYNE ST
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-3530
Mailing Address - Country:US
Mailing Address - Phone:419-656-0455
Mailing Address - Fax:
Practice Address - Street 1:1225 WAYNE ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3530
Practice Address - Country:US
Practice Address - Phone:419-656-0455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP563103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool