Provider Demographics
NPI:1689966293
Name:MATTHEWS, MEGAN C
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:C
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-4828
Mailing Address - Country:US
Mailing Address - Phone:203-265-7591
Mailing Address - Fax:
Practice Address - Street 1:34 CARDINAL DR
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-4828
Practice Address - Country:US
Practice Address - Phone:203-265-7591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-15
Last Update Date:2011-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker