Provider Demographics
NPI:1134787161
Name:WEGHER, MEGAN (AUD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:WEGHER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 JACE RD
Mailing Address - Street 2:
Mailing Address - City:SERGEANT BLF
Mailing Address - State:IA
Mailing Address - Zip Code:51054-8803
Mailing Address - Country:US
Mailing Address - Phone:712-389-0409
Mailing Address - Fax:
Practice Address - Street 1:21 1ST AVE NE STE 2
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3594
Practice Address - Country:US
Practice Address - Phone:712-389-0409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1024231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1114141546Medicaid