Individual
DR. MEGHAN MARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9525 BUSINESS INTERSTATE 40, AMARILLO, TX 79124-2329
(806) 607-5930
(806) 482-1609
Mailing address
9525 BUSINESS INTERSTATE 40, AMARILLO, TX 79124-2329
(806) 607-5930
(806) 482-1609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36430
TX
103TC2200X
Clinical Child & Adolescent Psychologist
36430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200765110A
—
OK
05
—
27755533
—
NM
05
—
3274508-01
—
TX
05
—
327450802
—
TX
05
—
327450803
—
TX
Enumeration date
07/31/2013
Last updated
12/15/2023
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