Provider Demographics
NPI:1396082582
Name:FERDA, MEGAN RENEE (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:RENEE
Last Name:FERDA
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 12TH ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3273
Mailing Address - Country:US
Mailing Address - Phone:304-810-2651
Mailing Address - Fax:
Practice Address - Street 1:80 12TH ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3273
Practice Address - Country:US
Practice Address - Phone:304-234-8596
Practice Address - Fax:304-234-8333
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2061101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional