Provider Demographics
NPI:1649558727
Name:KRUEGER, MEGAN CHAPMAN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:CHAPMAN
Last Name:KRUEGER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8534 GLADE CT
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5247
Mailing Address - Country:US
Mailing Address - Phone:919-413-1669
Mailing Address - Fax:
Practice Address - Street 1:8534 GLADE CT
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5247
Practice Address - Country:US
Practice Address - Phone:919-413-1669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-24
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12148568235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist