Provider Demographics
NPI:1659824803
Name:MEGAN WARNER PHD LLC
Entity Type:Organization
Organization Name:MEGAN WARNER PHD LLC
Other - Org Name:GUILFORD PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-540-4634
Mailing Address - Street 1:303 CHURCH ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2468
Mailing Address - Country:US
Mailing Address - Phone:860-540-4634
Mailing Address - Fax:
Practice Address - Street 1:303 CHURCH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2468
Practice Address - Country:US
Practice Address - Phone:860-540-4634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-24
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3427103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty