Provider Demographics
NPI:1255214128
Name:MORRISON, MEGAN (MA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3444 E DOUGLAS AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-3387
Mailing Address - Country:US
Mailing Address - Phone:502-417-6443
Mailing Address - Fax:
Practice Address - Street 1:100 S MAIN ST STE 505
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-3738
Practice Address - Country:US
Practice Address - Phone:316-688-8390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03424-T103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling