Individual
MISS MEGAN KATHLEEN PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1420 MAIN ST., E. DENNIS, MA 02641
(508) 385-9090
(508) 385-5060
Mailing address
PO BOX 1066, DENNIS, MA 02638
(508) 385-9090
(508) 385-5060
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401001
TUFTS HEALTH PLAN
MA
01
—
PEP04631
BCBS OF MA
MA
Enumeration date
03/20/2007
Last updated
11/23/2021
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