Provider Demographics
NPI:1144540832
Name:DUNCAN, MEGAN C (CASACT)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:C
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:CASACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 SEIBERT RD
Mailing Address - Street 2:
Mailing Address - City:MEDUSA
Mailing Address - State:NY
Mailing Address - Zip Code:12120-2515
Mailing Address - Country:US
Mailing Address - Phone:518-239-4084
Mailing Address - Fax:
Practice Address - Street 1:415 SEIBERT RD
Practice Address - Street 2:
Practice Address - City:MEDUSA
Practice Address - State:NY
Practice Address - Zip Code:12120-2515
Practice Address - Country:US
Practice Address - Phone:518-239-4084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21981101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)