Basic Information
| Provider Information | |||||||||
| NPI: | 1235358896 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MEAGHER | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | SR. | ||||||||
| Credential: | MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 27240 PIERCE RANCH RD | ||||||||
| Address2: | |||||||||
| City: | DAVIS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956169447 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5623467151 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9343 TECH CENTER DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958262592 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163886400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2007 | ||||||||
| LastUpdateDate: | 10/10/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | MFT 46515 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.