Provider Demographics
NPI:1376676262
Name:SAFKO, MEGHAN M
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:M
Last Name:SAFKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2728 E PURDUE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-4720
Mailing Address - Country:US
Mailing Address - Phone:303-204-2473
Mailing Address - Fax:602-254-5178
Practice Address - Street 1:4807 E GREENWAY RD STE 3
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-9608
Practice Address - Country:US
Practice Address - Phone:480-674-0633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD496231H00000X
AZDA13709231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAUD496OtherAUDIOLOGY LIC