Provider Demographics
NPI:1275192007
Name:OLSEN, MEGHAN PRICE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:PRICE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:ROSE
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:61 SHELL HALL WAY
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-7861
Mailing Address - Country:US
Mailing Address - Phone:843-410-4466
Mailing Address - Fax:
Practice Address - Street 1:61 SHELL HALL WAY
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-7861
Practice Address - Country:US
Practice Address - Phone:843-410-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP012409235Z00000X
SC5696235Z00000X
MD06982235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist