Provider Demographics
NPI:1881948016
Name:HILSABECK, MEGAN S I (MS SLP-CCC)
Entity type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:S
Last Name:HILSABECK
Suffix:I
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:413 BLAKE ANTHONY DR
Mailing Address - Street 2:UNIT A
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093
Mailing Address - Country:US
Mailing Address - Phone:660-635-1505
Mailing Address - Fax:
Practice Address - Street 1:413 BLAKE ANTHONY DR.
Practice Address - Street 2:UNIT A
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-8294
Practice Address - Country:US
Practice Address - Phone:660-635-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-09
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012038316235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist