Provider Demographics
NPI:1346096138
Name:MEGAN DUVALL MS CCC-SLP PROFESSIONAL LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:MEGAN DUVALL MS CCC-SLP PROFESSIONAL LIMITED LIABILITY COMPANY
Other - Org Name:MEGAN DUVALL MS, CCC-SLP, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUVALL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:270-625-3531
Mailing Address - Street 1:416 TROON DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445-2800
Mailing Address - Country:US
Mailing Address - Phone:270-625-3531
Mailing Address - Fax:
Practice Address - Street 1:2072 US HIGHWAY 62 W
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445-6060
Practice Address - Country:US
Practice Address - Phone:270-625-3531
Practice Address - Fax:877-552-2114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech