Provider Demographics
NPI:1841917598
Name:SEBASCO, MEGAN K (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:K
Last Name:SEBASCO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 GARLAND RD
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03290-6109
Mailing Address - Country:US
Mailing Address - Phone:856-340-1243
Mailing Address - Fax:
Practice Address - Street 1:7 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-1896
Practice Address - Country:US
Practice Address - Phone:603-692-2126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1982235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist