Doctor Name: | MS. MEGAN WYCH |
NPI Number: | 1205249950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 001623 |
Business Practice Address: | 806 5th Ave Suite 2 Grinnell, IA - 501121613 |
Business Phone Number: | 7123076014 |
Business Fax Number: | |
Mailing Address: | 1724 55th St, DES MOINES |
State: | IA |
Postal Code: | 503101548 |
Phone Number: | 5153060069 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2014 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |