Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
NPI | 1013507813 |
---|---|
Provider Name | Megan Lee Houk |
First Address | Salem, VA 24153-5159 |
Second Address | Colorado Springs, CO 80907-4094 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2021 |
Last Update Date | 25/01/2021 |