Provider Demographics
NPI:1568123297
Name:VU, MEGAN PHUONG-MAI (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:PHUONG-MAI
Last Name:VU
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6123 FARRINGTON RD APT K13
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8013
Mailing Address - Country:US
Mailing Address - Phone:336-848-5667
Mailing Address - Fax:
Practice Address - Street 1:6123 FARRINGTON RD APT K13
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8013
Practice Address - Country:US
Practice Address - Phone:336-848-5667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14860235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty