Provider Demographics
NPI:1790953347
Name:SPOHN, MEGAN (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:SPOHN
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 1:1924 HACKETT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5061
Mailing Address - Country:US
Mailing Address - Phone:214-213-6596
Mailing Address - Fax:
Practice Address - Street 1:1924 HACKETT CREEK DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5061
Practice Address - Country:US
Practice Address - Phone:214-213-6596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100113235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist