Provider Demographics
NPI:1881071892
Name:PRICE, MEGAN (MCD, CFY-SLP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:MCD, CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 S GOULD ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:AR
Mailing Address - Zip Code:72432-2414
Mailing Address - Country:US
Mailing Address - Phone:870-578-8550
Mailing Address - Fax:
Practice Address - Street 1:306 S GOULD ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:AR
Practice Address - Zip Code:72432-2414
Practice Address - Country:US
Practice Address - Phone:870-578-8550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP8890235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist