Provider Demographics
NPI:1649588476
Name:TUNSON, MEGHAN LEN (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:LEN
Last Name:TUNSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:LEN
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:840 HINCKLEY ROAD
Mailing Address - Street 2:SUITE # 110
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010
Mailing Address - Country:US
Mailing Address - Phone:510-394-4035
Mailing Address - Fax:
Practice Address - Street 1:840 HINCKLEY ROAD
Practice Address - Street 2:SUITE # 110
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010
Practice Address - Country:US
Practice Address - Phone:510-394-4035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25752103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist