Provider Demographics
NPI:1598792152
Name:HAAS, MEGHAN CATHLEEN (ATC)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:CATHLEEN
Last Name:HAAS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 WYOMISSING HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1778
Mailing Address - Country:US
Mailing Address - Phone:610-678-6592
Mailing Address - Fax:
Practice Address - Street 1:72 WYOMISSING HILLS BLVD
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1778
Practice Address - Country:US
Practice Address - Phone:610-678-6592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer