Provider Demographics
NPI:1912300765
Name:HARP, MEEGAN FAY (LMFT)
Entity Type:Individual
Prefix:
First Name:MEEGAN
Middle Name:FAY
Last Name:HARP
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66422 HUNTER RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97876-8127
Mailing Address - Country:US
Mailing Address - Phone:541-975-3868
Mailing Address - Fax:
Practice Address - Street 1:10501 W 1ST ST
Practice Address - Street 2:
Practice Address - City:ISLAND CITY
Practice Address - State:OR
Practice Address - Zip Code:97850-8410
Practice Address - Country:US
Practice Address - Phone:541-975-3868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
ORT1565106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist