Provider Demographics
NPI:1255771549
Name:LITTLEHALE, MEGAN
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:LITTLEHALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 183
Mailing Address - Street 2:
Mailing Address - City:GROVETON
Mailing Address - State:NH
Mailing Address - Zip Code:03582-0183
Mailing Address - Country:US
Mailing Address - Phone:603-481-3479
Mailing Address - Fax:
Practice Address - Street 1:10 MAIN ST APT 3
Practice Address - Street 2:
Practice Address - City:GROVETON
Practice Address - State:NH
Practice Address - Zip Code:03582-4214
Practice Address - Country:US
Practice Address - Phone:603-460-5883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3137299Medicaid