Provider Demographics
NPI:1396967139
Name:REED, MEGAN ELENA (CRC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELENA
Last Name:REED
Suffix:
Gender:F
Credentials:CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5471 INGLECREST PL
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8466
Mailing Address - Country:US
Mailing Address - Phone:614-853-4356
Mailing Address - Fax:614-853-4357
Practice Address - Street 1:5471 INGLECREST PL
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-8466
Practice Address - Country:US
Practice Address - Phone:614-853-4356
Practice Address - Fax:614-853-4357
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00015222171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator