Provider Demographics
NPI:1184341521
Name:MABROUK, MEGAN EILEEN (CNP)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:EILEEN
Last Name:MABROUK
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:EILEEN
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2242 AUGUSTINE DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-4742
Mailing Address - Country:US
Mailing Address - Phone:216-527-6374
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.00325702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry