Provider Demographics
NPI:1699223610
Name:LAWHON, MEGAN HOLLY (MA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:HOLLY
Last Name:LAWHON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 MACCORKLE AVE SE STE 1
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-2541
Mailing Address - Country:US
Mailing Address - Phone:304-925-0800
Mailing Address - Fax:304-925-0805
Practice Address - Street 1:4407 MACCORKLE AVE SE STE 1
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-2541
Practice Address - Country:US
Practice Address - Phone:304-925-0800
Practice Address - Fax:304-925-0805
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist