Provider Demographics
NPI:1326418393
Name:MORROW, MEAGAN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:MORROW
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 1:46 PRESCOTT ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-1794
Mailing Address - Country:US
Mailing Address - Phone:860-690-4304
Mailing Address - Fax:
Practice Address - Street 1:46 PRESCOTT ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-1794
Practice Address - Country:US
Practice Address - Phone:617-600-8163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-02
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004456235Z00000X
MA76512235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist