Provider Demographics
NPI:1578324802
Name:O'MEARA, MEGHAN KYLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:KYLE
Last Name:O'MEARA
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 1:318 MYSTIC VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2032
Mailing Address - Country:US
Mailing Address - Phone:267-273-6048
Mailing Address - Fax:
Practice Address - Street 1:318 MYSTIC VIEW CIR
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2032
Practice Address - Country:US
Practice Address - Phone:267-273-6048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional