Provider Demographics
NPI:1043622665
Name:DOWNER, MEGAN ANNE (MA, CCC-SLP, CLC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANNE
Last Name:DOWNER
Suffix:
Gender:F
Credentials:MA, CCC-SLP, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5817
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49696-5817
Mailing Address - Country:US
Mailing Address - Phone:616-706-2916
Mailing Address - Fax:
Practice Address - Street 1:19080 RIDGE VIEW LN
Practice Address - Street 2:
Practice Address - City:LAKE ANN
Practice Address - State:MI
Practice Address - Zip Code:49650-9411
Practice Address - Country:US
Practice Address - Phone:231-577-9421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist