Provider Demographics
NPI:1952015604
Name:PALKO, MEGAN (MA,ATR-BC, CCLS, LPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:PALKO
Suffix:
Gender:F
Credentials:MA,ATR-BC, CCLS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 BABCOCK BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209-1302
Mailing Address - Country:US
Mailing Address - Phone:724-351-1010
Mailing Address - Fax:
Practice Address - Street 1:1844 BABCOCK BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15209-1302
Practice Address - Country:US
Practice Address - Phone:724-351-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012409101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health