Provider Demographics
NPI:1184931016
Name:MURPHY, MEGAN ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:ANN
Last Name:MURPHY
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 1:10603 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-1929
Mailing Address - Country:US
Mailing Address - Phone:708-567-1562
Mailing Address - Fax:708-423-1562
Practice Address - Street 1:11531 SWINFORD LN
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-9274
Practice Address - Country:US
Practice Address - Phone:219-229-0322
Practice Address - Fax:708-479-2112
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.010339235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist