Provider Demographics
NPI:1972907004
Name:HANDLEY, MEGAN (MA, LPCP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:HANDLEY
Suffix:
Gender:U
Credentials:MA, LPCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9131 MANSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2444
Mailing Address - Country:US
Mailing Address - Phone:773-616-8810
Mailing Address - Fax:
Practice Address - Street 1:9131 MANSFIELD AVE
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2444
Practice Address - Country:US
Practice Address - Phone:773-616-8810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.013064101YM0800X
WAMC60489965101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health