Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 35SI00476600 | NJ |
Y | 103TC0700X | Clinical Psychologist | 35SI00476600 | NJ |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 018067-1 | NY |
NPI | 1043532823 |
---|---|
Provider Name | Dr. Meghan Lori Feehan |
First Address | Summit, NJ 07901-3533 |
Second Address | Summit, NJ 07901-3533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2010 |
Last Update Date | 16/11/2010 |