Provider Demographics
NPI:1790185627
Name:GRABLE, MEGAN LYNN (AUD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYNN
Last Name:GRABLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:LYNN
Other - Last Name:CHANEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:12500 HIGHWAY 41 N STE 6
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-7031
Mailing Address - Country:US
Mailing Address - Phone:812-425-1500
Mailing Address - Fax:812-425-0587
Practice Address - Street 1:12500 HIGHWAY 41 N STE 6
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-7031
Practice Address - Country:US
Practice Address - Phone:812-425-1500
Practice Address - Fax:812-425-0587
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002560A231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM69211015Medicare UPIN