Provider Demographics
NPI:1922500255
Name:TIGNOR, MEGHANN G (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MEGHANN
Middle Name:G
Last Name:TIGNOR
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3746 W STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-1630
Mailing Address - Country:US
Mailing Address - Phone:757-515-4239
Mailing Address - Fax:
Practice Address - Street 1:1444 DUNSTAN LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-4241
Practice Address - Country:US
Practice Address - Phone:757-648-3920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004646235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist