Provider Demographics
NPI:1649494329
Name:MCPHERON, MEGAN KAY (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:KAY
Last Name:MCPHERON
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4980 USAA BLVD
Mailing Address - Street 2:721
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1312
Mailing Address - Country:US
Mailing Address - Phone:210-885-2224
Mailing Address - Fax:
Practice Address - Street 1:4980 USAA BLVD
Practice Address - Street 2:721
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1312
Practice Address - Country:US
Practice Address - Phone:210-885-2224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17333101YP2500X
TX5187106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist