| Doctor Name: | MISS MEGHAN MARIE TRA |
| NPI Number: | 1033462676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.S.W. |
| License Number: | 31000034 |
| Business Practice Address: | 241 Broad St Montoursville, PA - 177542283 |
| Business Phone Number: | 5703290196 |
| Business Fax Number: | 5703688402 |
| Mailing Address: | 241 Broad St, MONTOURSVILLE |
| State: | PA |
| Postal Code: | 177542283 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2012 |
| NPI Last Update Date: | 10/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 31000034 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |