Provider Demographics
NPI:1326213331
Name:BACHMANN, MEAGAN PREVATTE (AUD)
Entity Type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:PREVATTE
Last Name:BACHMANN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:PREVATTE
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:COMPREHAB 131 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-3103
Mailing Address - Fax:336-716-8161
Practice Address - Street 1:COMPREHAB 131 MILLER ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-3103
Practice Address - Fax:336-716-8161
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7722231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist