Provider Demographics
NPI:1750824017
Name:ALGARATE, MEGAN
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:ALGARATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24600 SILVER CLOUD CT
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6582
Mailing Address - Country:US
Mailing Address - Phone:831-645-7900
Mailing Address - Fax:831-645-7906
Practice Address - Street 1:24600 SILVER CLOUD CT
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6582
Practice Address - Country:US
Practice Address - Phone:831-645-7902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-18
Last Update Date:2021-03-11
Deactivation Date:2017-11-08
Deactivation Code:
Reactivation Date:2017-12-06
Provider Licenses
StateLicense IDTaxonomies
CASPA46932355S0801X
NM6317235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant