Provider Demographics
NPI:1558677468
Name:LINES, MEGHAN M (PHD)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:M
Last Name:LINES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MEGHAN
Other - Middle Name:DAVIS
Other - Last Name:MCAULIFFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1600 ROCKLAND RD
Mailing Address - Street 2:DIV. BEHAVIORAL HEALTH
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3607
Mailing Address - Country:US
Mailing Address - Phone:302-651-4500
Mailing Address - Fax:302-651-4543
Practice Address - Street 1:1600 ROCKLAND RD
Practice Address - Street 2:DIV. BEHAVIORAL HEALTH
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3607
Practice Address - Country:US
Practice Address - Phone:302-651-4500
Practice Address - Fax:302-651-4543
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB20000325103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent