Provider Demographics
NPI:1982039368
Name:SPRAW, MEGAN E (LPCA)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:E
Last Name:SPRAW
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3302 UNIVERSITY DR STE A
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3774
Mailing Address - Country:US
Mailing Address - Phone:919-886-6056
Mailing Address - Fax:877-786-5369
Practice Address - Street 1:3302 UNIVERSITY DR STE A
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3774
Practice Address - Country:US
Practice Address - Phone:919-886-6056
Practice Address - Fax:877-786-5369
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10228101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor