Provider Demographics
NPI:1821434416
Name:KAINZ, MEGHAN ANN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ANN
Last Name:KAINZ
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 1:2508 ENFIELD RD
Mailing Address - Street 2:APT 18
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-3734
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2508 ENFIELD RD
Practice Address - Street 2:APT 18
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-3734
Practice Address - Country:US
Practice Address - Phone:512-791-2376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108672235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist