Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 32037 | CA |
Y | 103T00000X | Psychologist | 32037 | CA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1104271683 |
---|---|
Provider Name | Dr. Megan Beardmore |
First Address | Sherman Oaks, CA 91401-6037 |
Second Address | Sherman Oaks, CA 91401-6037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2016 |
Last Update Date | 25/01/2021 |