Provider Demographics
NPI:1750064945
Name:FLANIGAN, MEGAN JANE (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JANE
Last Name:FLANIGAN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:JANE
Other - Last Name:BEVEVINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5052 CORK COLD SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:OH
Mailing Address - Zip Code:44041-9322
Mailing Address - Country:US
Mailing Address - Phone:814-706-1845
Mailing Address - Fax:
Practice Address - Street 1:2515 LAKE AVE
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-4955
Practice Address - Country:US
Practice Address - Phone:440-997-6680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20232266-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist