Provider Demographics
NPI:1891007373
Name:RYAN, MEGAN J (MED CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:J
Last Name:RYAN
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:J
Other - Last Name:HUFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED CCC-SLP
Mailing Address - Street 1:5427 CHARLOTTE DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-2625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5427 CHARLOTTE DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-2625
Practice Address - Country:US
Practice Address - Phone:504-507-0408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4681235Z00000X
LA8753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty