Provider Demographics
NPI:1033983465
Name:AUTHEMENT, MEAGAN P (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:P
Last Name:AUTHEMENT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:
Other - Last Name:PITRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:270 HIGHWAY 3185
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-7466
Mailing Address - Country:US
Mailing Address - Phone:985-449-0944
Mailing Address - Fax:352-218-0009
Practice Address - Street 1:270 HIGHWAY 3185
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-7466
Practice Address - Country:US
Practice Address - Phone:985-449-0944
Practice Address - Fax:352-218-0009
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist