Provider Demographics
NPI:1356945257
Name:MEGAN MCDONNELL, PSYD, PC
Entity type:Organization
Organization Name:MEGAN MCDONNELL, PSYD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ALEXIA
Authorized Official - Last Name:MCDONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:910-408-2525
Mailing Address - Street 1:190 SW BROAD ST UNIT 1203
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28388-0104
Mailing Address - Country:US
Mailing Address - Phone:910-408-2525
Mailing Address - Fax:888-546-3945
Practice Address - Street 1:225 N BENNETT ST STE F
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-4810
Practice Address - Country:US
Practice Address - Phone:910-408-2525
Practice Address - Fax:888-546-3945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty