Provider Demographics
NPI:1811536907
Name:STRILEY, MEGAN MARCHAND (MT-BC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARCHAND
Last Name:STRILEY
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12548 KARA LYNN PL
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75704-8703
Mailing Address - Country:US
Mailing Address - Phone:806-544-7989
Mailing Address - Fax:
Practice Address - Street 1:12548 KARA LYNN PL
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75704-8703
Practice Address - Country:US
Practice Address - Phone:806-544-7989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty