Provider Demographics
NPI:1669886826
Name:POLLOCK, MEAGAN COWAN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:COWAN
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:729 E WHITAKER MILL RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-2717
Mailing Address - Country:US
Mailing Address - Phone:919-525-4247
Mailing Address - Fax:888-206-6899
Practice Address - Street 1:4709 YADKIN DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5528
Practice Address - Country:US
Practice Address - Phone:919-628-8355
Practice Address - Fax:888-206-6899
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2016-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC10968235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10968OtherNC BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS