Individual
MEGAN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002816A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000986836
ANTHEM PROVIDER NUMBER
IN
Enumeration date
12/21/2015
Last updated
02/18/2016
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