Basic Information
| Provider Information | |||||||||
| NPI: | 1730710518 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CSER | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | BRITTANY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 3301 OCEAN PARK BLVD STE 210 | ||||||||
| Address2: | |||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904053230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4244320058 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3301 OCEAN PARK BLVD STE 210 | ||||||||
| Address2: | |||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904053230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4244320058 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2020 | ||||||||
| LastUpdateDate: | 08/04/2021 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | Y | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 08/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 1602 | SC | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | PSY32567 | CA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.