Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1114536307 |
---|---|
Provider Name | Megan Harrelson Cheung |
First Address | Apex, NC 27502-1824 |
Second Address | Apex, NC 27502-1824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2020 |
Last Update Date | 24/07/2020 |