Provider Demographics
NPI:1669142303
Name:MCCURDY, MEGHAN LOUISE
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:LOUISE
Last Name:MCCURDY
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 1:579 HAILWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-1324
Mailing Address - Country:US
Mailing Address - Phone:814-795-9727
Mailing Address - Fax:
Practice Address - Street 1:MERCY HOUSE OF MEADVILLE, INC.
Practice Address - Street 2:13180 LESLIE RD STE 2
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-8478
Practice Address - Country:US
Practice Address - Phone:814-337-6180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013648101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional