Provider Demographics
NPI:1205261492
Name:SLUSHER, MEGAN DIANE (BS)
Entity type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:DIANE
Last Name:SLUSHER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:DIANE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS
Mailing Address - Street 1:2705 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:AMMON
Mailing Address - State:ID
Mailing Address - Zip Code:83406-6669
Mailing Address - Country:US
Mailing Address - Phone:208-346-7500
Mailing Address - Fax:
Practice Address - Street 1:2705 E 17TH ST
Practice Address - Street 2:
Practice Address - City:AMMON
Practice Address - State:ID
Practice Address - Zip Code:83406-6669
Practice Address - Country:US
Practice Address - Phone:208-346-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker