Provider Demographics
NPI:1194902718
Name:MEEHAN, MARGARET MARIE (LPN)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARIE
Last Name:MEEHAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:MEEHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:WES HEALTH CENTER
Mailing Address - Street 2:2514 N. BROAD ST.
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132
Mailing Address - Country:US
Mailing Address - Phone:215-226-7100
Mailing Address - Fax:
Practice Address - Street 1:2514 N. BROAD ST.
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132
Practice Address - Country:US
Practice Address - Phone:215-226-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN087468L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health