Provider Demographics
NPI:1669911954
Name:LEVY, MEGAN DONAHUE
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:DONAHUE
Last Name:LEVY
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 1:191 PRESIDENTIAL BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1215
Mailing Address - Country:US
Mailing Address - Phone:215-631-2363
Mailing Address - Fax:
Practice Address - Street 1:191 PRESIDENTIAL BLVD STE 104
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1215
Practice Address - Country:US
Practice Address - Phone:215-631-2363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-20
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist