Provider Demographics
NPI:1659427847
Name:MEGLAN, CAHTERINE T (PT)
Entity Type:Individual
Prefix:MRS
First Name:CAHTERINE
Middle Name:T
Last Name:MEGLAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9145 PARK HAVEN LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63126-2933
Mailing Address - Country:US
Mailing Address - Phone:314-843-7191
Mailing Address - Fax:
Practice Address - Street 1:9145 PARK HAVEN LN
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-2933
Practice Address - Country:US
Practice Address - Phone:314-843-7191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00747174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist