Provider Demographics
NPI:1063698983
Name:SAVAGE, MEGHAN COLLINS (MA)
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:COLLINS
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 EDWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-1582
Mailing Address - Country:US
Mailing Address - Phone:225-620-5807
Mailing Address - Fax:
Practice Address - Street 1:2625 EDWARD AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-1582
Practice Address - Country:US
Practice Address - Phone:225-620-5807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA007311810235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist