Provider Demographics
NPI:1427861475
Name:MCNULTY, MEGHAN (LPC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:MCNULTY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4925
Mailing Address - Country:US
Mailing Address - Phone:551-221-1597
Mailing Address - Fax:
Practice Address - Street 1:107 ROBIN LN
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4925
Practice Address - Country:US
Practice Address - Phone:551-221-1597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01085700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional