Provider Demographics
NPI:1417328949
Name:DUNBAR, MEGAN NOELLE (AUD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:NOELLE
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 MILLSAPS DR
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-1348
Mailing Address - Country:US
Mailing Address - Phone:601-268-5131
Mailing Address - Fax:601-268-5138
Practice Address - Street 1:107 MILLSAPS DR
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1348
Practice Address - Country:US
Practice Address - Phone:601-268-5131
Practice Address - Fax:601-268-5138
Is Sole Proprietor?:No
Enumeration Date:2015-10-09
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA-4657231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSA-4657OtherLICENSE VERIFICATION