Provider Demographics
NPI:1982627733
Name:BALLEW, MEGAN SUNSHINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:SUNSHINE
Last Name:BALLEW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:SUNSHINE
Other - Last Name:DUNLAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3510 S WHEELING AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-2722
Mailing Address - Country:US
Mailing Address - Phone:918-407-7022
Mailing Address - Fax:
Practice Address - Street 1:3510 S WHEELING AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-2722
Practice Address - Country:US
Practice Address - Phone:918-407-7022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral