Provider Demographics
NPI:1306280649
Name:LOW, MEGAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:LOW
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:BISSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 71104
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-1104
Mailing Address - Country:US
Mailing Address - Phone:808-927-3413
Mailing Address - Fax:
Practice Address - Street 1:1212 4TH ST SE
Practice Address - Street 2:SUITE 709
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3482
Practice Address - Country:US
Practice Address - Phone:808-927-3413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY 1382103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical