Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | E.1200639-SUPV | OH |
N | 101YM0800X | Mental Health Counselor | E.1200639-SUPV | OH |
Y | 101YP2500X | Professional Counselor | C.1200639-CR | OH |
N | 101YP2500X | Professional Counselor | E.1200639-SUPV | OH |
N | 101YS0200X | School Counselor | OH3108465 | OH |
NPI | 1083050397 |
---|---|
Provider Name | Dr. Megan Lynn Miranda |
First Address | Cuyahoga Falls, OH 44221-1900 |
Second Address | Cuyahoga Falls, OH 44221-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 27/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0255723 | (05) | OH |