Individual
MEGHANN HENNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036135834
IL
2084P0800X
Psychiatry Physician
60-267357
NY
2084P0804X
Child & Adolescent Psychiatry Physician
036135834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036135834
—
IL
Enumeration date
04/22/2008
Last updated
01/08/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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