Provider Demographics
NPI:1801887963
Name:BARKER, MEGAN E (ST)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:BARKER
Suffix:
Gender:F
Credentials:ST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2519 BRASSINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-4911
Mailing Address - Country:US
Mailing Address - Phone:330-819-5583
Mailing Address - Fax:
Practice Address - Street 1:TELEMEDICINE SERVICES
Practice Address - Street 2:2519 BRASSINGTON WAY
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-4423
Practice Address - Country:US
Practice Address - Phone:330-819-5583
Practice Address - Fax:330-297-8833
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP7237235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSP7237OtherOH BD OF SPEECH LANG PATH
09148626OtherASHA
OH1891887963Medicaid