Provider Demographics
NPI:1326364365
Name:MUNRO, MAEGAN (PHD)
Entity type:Individual
Prefix:DR
First Name:MAEGAN
Middle Name:
Last Name:MUNRO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 WEST AVE.L-12 SUITE 101 #5
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-1439
Mailing Address - Country:US
Mailing Address - Phone:661-400-6193
Mailing Address - Fax:661-951-1790
Practice Address - Street 1:1034 W AVENUE L12 STE 101
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-7083
Practice Address - Country:US
Practice Address - Phone:661-400-6193
Practice Address - Fax:661-951-1790
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 43991106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist