Provider Demographics
NPI:1376774844
Name:ALDRICH, MEGAN M (SLP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:ALDRICH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11150 FAIRFAX BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-5066
Mailing Address - Country:US
Mailing Address - Phone:703-537-0373
Mailing Address - Fax:703-865-7379
Practice Address - Street 1:11150 FAIRFAX BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5066
Practice Address - Country:US
Practice Address - Phone:703-537-0373
Practice Address - Fax:703-865-7379
Is Sole Proprietor?:No
Enumeration Date:2009-08-01
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist