Provider Demographics
NPI:1790407351
Name:CHANG, MEG H (LCAT)
Entity Type:Individual
Prefix:DR
First Name:MEG
Middle Name:H
Last Name:CHANG
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 WEST 43RD ST
Mailing Address - Street 2:42A
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10036-6335
Mailing Address - Country:US
Mailing Address - Phone:917-992-3947
Mailing Address - Fax:
Practice Address - Street 1:484 WEST 43RD ST
Practice Address - Street 2:42A
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10036-6335
Practice Address - Country:US
Practice Address - Phone:917-992-3947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000796101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health