Provider Demographics
NPI:1619780996
Name:CORLEY, MEGAN LEIGH (PHD LCP)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LEIGH
Last Name:CORLEY
Suffix:
Gender:F
Credentials:PHD LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 POWDERHORN DR
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-4491
Mailing Address - Country:US
Mailing Address - Phone:703-853-7714
Mailing Address - Fax:
Practice Address - Street 1:10301 POWDERHORN DR
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-4491
Practice Address - Country:US
Practice Address - Phone:703-853-7714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810006418103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical