Provider Demographics
NPI:1669178588
Name:OED, MEGAN (LMFTA, PHD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:OED
Suffix:
Gender:F
Credentials:LMFTA, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6525 E 82ND ST BLDG 10
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1570
Mailing Address - Country:US
Mailing Address - Phone:317-502-5786
Mailing Address - Fax:
Practice Address - Street 1:6525 E 82ND ST BLDG 10
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1570
Practice Address - Country:US
Practice Address - Phone:317-502-5786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN85000261A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist