Provider Demographics
NPI:1134308992
Name:KENDRICK, MEGAN PEARCE (CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:PEARCE
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 CLANCY CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5563
Mailing Address - Country:US
Mailing Address - Phone:919-388-9942
Mailing Address - Fax:
Practice Address - Street 1:230 CLANCY CIR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5563
Practice Address - Country:US
Practice Address - Phone:919-388-9942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7845235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist