Provider Demographics
NPI:1558526160
Name:JOSEPH, MEGAN C (MSLP-CCC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:C
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MSLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-2614
Mailing Address - Country:US
Mailing Address - Phone:412-429-7760
Mailing Address - Fax:
Practice Address - Street 1:112 3RD AVE
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2614
Practice Address - Country:US
Practice Address - Phone:412-429-7760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009162235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist