Provider Demographics
NPI:1346598869
Name:POWERS, MEGHAN ELIZABETH (MS)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:ELIZABETH
Last Name:POWERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:MEGHAN
Other - Middle Name:ELIZABETH
Other - Last Name:SERLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:21944 E OXFORD PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-3092
Mailing Address - Country:US
Mailing Address - Phone:630-244-8102
Mailing Address - Fax:
Practice Address - Street 1:14699 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3903
Practice Address - Country:US
Practice Address - Phone:303-693-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146011770235Z00000X
COSLP.0004153235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist