Provider Demographics
NPI:1083223796
Name:WALDRON, MEGAN E (CF-SLP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:WALDRON
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W CHEYENNE ST
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NE
Mailing Address - Zip Code:68351-4228
Mailing Address - Country:US
Mailing Address - Phone:402-366-8271
Mailing Address - Fax:
Practice Address - Street 1:1742 MAIN ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-7687
Practice Address - Country:US
Practice Address - Phone:641-628-1244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist