Provider Demographics
NPI:1144543471
Name:BELL, MEGHAN LOGUE (PA-C)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:LOGUE
Last Name:BELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 W BRIGANTINE CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1832
Mailing Address - Country:US
Mailing Address - Phone:610-470-8667
Mailing Address - Fax:
Practice Address - Street 1:5004 W BRIGANTINE CT
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1832
Practice Address - Country:US
Practice Address - Phone:610-470-8667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health