Provider Demographics
NPI:1083983787
Name:CARR, MEGAN FRANCES (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:FRANCES
Last Name:CARR
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 1:907 WINDROW WAY
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-3609
Mailing Address - Country:US
Mailing Address - Phone:518-651-7151
Mailing Address - Fax:
Practice Address - Street 1:637 COUNTY ROUTE 1
Practice Address - Street 2:
Practice Address - City:FORT COVINGTON
Practice Address - State:NY
Practice Address - Zip Code:12937-2807
Practice Address - Country:US
Practice Address - Phone:518-358-6630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-26
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020225235Z00000X
DE0012114235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist