Provider Demographics
NPI:1669155834
Name:KUGLER, MEGHAN (MS, SLP-CCC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:KUGLER
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:HEALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, SLP-CCC
Mailing Address - Street 1:107 DAYSTROM AVE
Mailing Address - Street 2:
Mailing Address - City:ARCHBALD
Mailing Address - State:PA
Mailing Address - Zip Code:18403-1507
Mailing Address - Country:US
Mailing Address - Phone:570-290-9492
Mailing Address - Fax:
Practice Address - Street 1:107 DAYSTROM AVE
Practice Address - Street 2:
Practice Address - City:ARCHBALD
Practice Address - State:PA
Practice Address - Zip Code:18403-1507
Practice Address - Country:US
Practice Address - Phone:570-290-9492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL012808235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist