Provider Demographics
NPI:1649931676
Name:ACKERMAN, MEGAN LACOUR
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:LACOUR
Last Name:ACKERMAN
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 1:108 LUCAS CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4616
Mailing Address - Country:US
Mailing Address - Phone:504-231-6725
Mailing Address - Fax:
Practice Address - Street 1:315 RUE DU BELIER
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4899
Practice Address - Country:US
Practice Address - Phone:504-231-6725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist