Provider Demographics
NPI:1306602289
Name:DIPPOLD, MEGAN (MS, LMFT, LCMFT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:DIPPOLD
Suffix:
Gender:F
Credentials:MS, LMFT, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 GLENWOOD ST STE 104
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1365
Mailing Address - Country:US
Mailing Address - Phone:816-873-8326
Mailing Address - Fax:
Practice Address - Street 1:9200 GLENWOOD ST STE 104
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1365
Practice Address - Country:US
Practice Address - Phone:816-873-8326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCMFT03253101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health