Provider Demographics
NPI:1982037180
Name:COTTEN, MEGAN H (SLP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:H
Last Name:COTTEN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:HARTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:37065 MILLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GEISMAR
Mailing Address - State:LA
Mailing Address - Zip Code:70734-3245
Mailing Address - Country:US
Mailing Address - Phone:225-614-6876
Mailing Address - Fax:
Practice Address - Street 1:12320 HIGHWAY 44
Practice Address - Street 2:BLDG 3F
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-2202
Practice Address - Country:US
Practice Address - Phone:225-647-9505
Practice Address - Fax:225-647-9503
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6288235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist