Provider Demographics
NPI:1255006623
Name:BROPHY, MEGAN LOUISE (LPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LOUISE
Last Name:BROPHY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 SOUTH AVE E UNIT 306
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3261
Mailing Address - Country:US
Mailing Address - Phone:732-570-4566
Mailing Address - Fax:
Practice Address - Street 1:555 SOUTH AVE E UNIT 306
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3261
Practice Address - Country:US
Practice Address - Phone:732-570-4566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01023500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health