Provider Demographics
NPI:1861929457
Name:TODD, MEGHAN (LMFT, RDT)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:TODD
Suffix:
Gender:F
Credentials:LMFT, RDT
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, IMF
Mailing Address - Street 1:PO BOX 30691
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94604-6791
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3045 SANTIAGO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1526
Practice Address - Country:US
Practice Address - Phone:510-426-6357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-15
Last Update Date:2020-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist