Provider Demographics
NPI:1255850780
Name:MARCH, MEGAN B (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:B
Last Name:MARCH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:B
Other - Last Name:STAVNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:33089 N BATTERSHALL RD
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2008
Mailing Address - Country:US
Mailing Address - Phone:847-217-4774
Mailing Address - Fax:
Practice Address - Street 1:33089 N BATTERSHALL RD
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030
Practice Address - Country:US
Practice Address - Phone:847-217-4774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146012763235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist