Provider Demographics
NPI:1881189819
Name:HUMPHREYS, MEGAN MURRAY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:MURRAY
Last Name:HUMPHREYS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 STATE ST STE B
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2049
Mailing Address - Country:US
Mailing Address - Phone:585-704-9459
Mailing Address - Fax:
Practice Address - Street 1:34 STATE ST STE B
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-2049
Practice Address - Country:US
Practice Address - Phone:585-704-9459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-22
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022694103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist