Provider Demographics
NPI:1649679077
Name:PIERSON, MEGAN LEIGH (MA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LEIGH
Last Name:PIERSON
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 HAYDENS LN
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6929
Mailing Address - Country:US
Mailing Address - Phone:919-819-5742
Mailing Address - Fax:
Practice Address - Street 1:300 E ARLINGTON BLVD, SUITE 9A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858
Practice Address - Country:US
Practice Address - Phone:919-819-5742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7834-125101Y00000X
NC4650103T00000X
NC11659101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103T00000XBehavioral Health & Social Service ProvidersPsychologist