Provider Demographics
NPI:1366310898
Name:KROUSE, MEGHAN ANNE
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ANNE
Last Name:KROUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 STUMP RD
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-7317
Mailing Address - Country:US
Mailing Address - Phone:856-534-2248
Mailing Address - Fax:
Practice Address - Street 1:1271 E MAPLE AVE
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3021
Practice Address - Country:US
Practice Address - Phone:856-534-2448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054251001041C0700X
PACW0161551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical