Provider Demographics
NPI:1114536307
Name:CHEUNG, MEGAN HARRELSON (PH D)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:HARRELSON
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ELIZABETH
Other - Last Name:HARRELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 S SALEM ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1824
Mailing Address - Country:US
Mailing Address - Phone:919-303-0377
Mailing Address - Fax:
Practice Address - Street 1:201 S SALEM ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1824
Practice Address - Country:US
Practice Address - Phone:919-303-0377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent