Provider Demographics
NPI:1669037651
Name:BOWLING, MEGAN SARA (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:SARA
Last Name:BOWLING
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:SARA
Other - Last Name:MONTOYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:2160 DEER HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-4853
Mailing Address - Country:US
Mailing Address - Phone:909-973-4210
Mailing Address - Fax:
Practice Address - Street 1:851 S HAMILTON BLVD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-2826
Practice Address - Country:US
Practice Address - Phone:909-973-4210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-05
Last Update Date:2019-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100409106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist