Individual
MEGAN PORTER STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-7874
(706) 721-1793
Mailing address
230 S ALABAMA ST UNIT 182, INDIANAPOLIS, IN 46204-3765
(330) 697-7676
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004548
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/24/2019
Last updated
10/05/2022
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