Provider Demographics
NPI:1841507688
Name:BRAYFIELD, MEGAN (MSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BRAYFIELD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4640 SPYRES WAY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-9800
Mailing Address - Country:US
Mailing Address - Phone:209-558-4595
Mailing Address - Fax:
Practice Address - Street 1:4640 SPYRES WAY
Practice Address - Street 2:SUITE 7
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-9800
Practice Address - Country:US
Practice Address - Phone:209-558-4595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker