Provider Demographics
NPI:1902200595
Name:OKA, MEGAN (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:OKA
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 OLD MAIN HL
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84322-2700
Mailing Address - Country:US
Mailing Address - Phone:435-797-7456
Mailing Address - Fax:
Practice Address - Street 1:493 N 700 E
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84322-2700
Practice Address - Country:US
Practice Address - Phone:435-797-7456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7803327-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000000000167141OtherBLUE CROSS BLUE SHIELD