Individual
MISS MEGAN MCKLVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 BONAR AVE, WAYNESBURG, PA 15370-1604
(724) 627-8156
(724) 852-1412
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328834A336348
VALUE BEHAVIORAL HEALTH
PA
Enumeration date
05/08/2012
Last updated
05/08/2012
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