Provider Demographics
NPI:1225106115
Name:REMENAP, MEGAN (SLP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:REMENAP
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7659 BIRCKLAN DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-1064
Mailing Address - Country:US
Mailing Address - Phone:248-444-5861
Mailing Address - Fax:
Practice Address - Street 1:4121 JACKSON RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-1827
Practice Address - Country:US
Practice Address - Phone:734-263-2493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI12033414235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist