Provider Demographics
NPI:1356979678
Name:BUSCHJOST, MEGHAN DELACY (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:DELACY
Last Name:BUSCHJOST
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CAHILL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-2036
Mailing Address - Country:US
Mailing Address - Phone:417-335-7274
Mailing Address - Fax:
Practice Address - Street 1:1209 N 10TH AVE
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-7845
Practice Address - Country:US
Practice Address - Phone:573-691-3806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016011140235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist