Megan Fennell

NPI #1962712315 in Grayson, Kentucky

Provider Information

NPI Number: 1962712315
Entity Type: Individual
Name: Megan Fennell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Oct 19, 2010
Last Updated: Aug 16, 2011

Practice Location

Address: 840 INTERSTATE DR
City: Grayson
State: Kentucky
ZIP Code: 41143-1768
Phone: (606) 474-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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