Doctor Name: | DR. MEGAN ANN CONNELL |
NPI Number: | 1295068179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | PY60181879 |
Business Practice Address: | 576 Jefferson Ave Mcdonald Army Health Center, Bldg 515 Fort Eustis, VA - 236041373 |
Business Phone Number: | 7573147558 |
Business Fax Number: | 7573147979 |
Mailing Address: | 576 Jefferson Ave, Mcdonald Army Health Center, Bldg 515 FORT EUSTIS |
State: | VA |
Postal Code: | 236041373 |
Phone Number: | 7573147558 |
Fax Number: | 7573147979 |
NPI Enumeration Date: | 09/10/2009 |
NPI Last Update Date: | 03/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY60181879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |