Provider Demographics
NPI:1821417148
Name:SHEILA MEGAN, PHD LLC
Entity type:Organization
Organization Name:SHEILA MEGAN, PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:775-786-0404
Mailing Address - Street 1:542 LANDER ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1551
Mailing Address - Country:US
Mailing Address - Phone:775-786-0404
Mailing Address - Fax:775-657-6128
Practice Address - Street 1:5595 KIETZKE LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-3029
Practice Address - Country:US
Practice Address - Phone:775-786-0404
Practice Address - Fax:775-657-6128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0500103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty