Provider Demographics
NPI:1275631038
Name:HAMILTON, MEGAN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 GRAND AVENUE PKWY
Mailing Address - Street 2:#301
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2063
Mailing Address - Country:US
Mailing Address - Phone:512-251-3230
Mailing Address - Fax:512-251-8760
Practice Address - Street 1:1433 GRAND AVENUE PKWY
Practice Address - Street 2:#301
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2063
Practice Address - Country:US
Practice Address - Phone:512-251-3230
Practice Address - Fax:512-251-8760
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100740235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T7612OtherBCBS
TX186437301Medicaid