Provider Demographics
NPI:1689875999
Name:ESTOK, MEGAN ANN (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:ANN
Last Name:ESTOK
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 1:5152 YORK COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5556
Mailing Address - Country:US
Mailing Address - Phone:614-293-4247
Mailing Address - Fax:614-293-5220
Practice Address - Street 1:2050 KENNY RD
Practice Address - Street 2:SUITE 2145
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3502
Practice Address - Country:US
Practice Address - Phone:614-293-4247
Practice Address - Fax:614-293-5220
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP8319235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist