Provider Demographics
NPI:1205335213
Name:DELANEY, MEGAN (PHD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MARLPIT PL
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2028
Mailing Address - Country:US
Mailing Address - Phone:908-623-6406
Mailing Address - Fax:
Practice Address - Street 1:6 MARLPIT PL
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2028
Practice Address - Country:US
Practice Address - Phone:908-623-6406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00618900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37PC00618900OtherMARRIAGE AND FAMILY THERAPY