Provider Demographics
NPI:1790564987
Name:WATT, MEGAN (LMFT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:WATT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 W 52ND ST APT 7LN
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-0451
Mailing Address - Country:US
Mailing Address - Phone:203-362-7436
Mailing Address - Fax:
Practice Address - Street 1:525 W 52ND ST APT 7LN
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-0451
Practice Address - Country:US
Practice Address - Phone:203-362-7436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002086-01106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist