Provider Demographics
NPI:1154124279
Name:BURKART, MEGAN KATHLEEN (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:KATHLEEN
Last Name:BURKART
Suffix:
Gender:
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 BOSTWICK AVE
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-4867
Mailing Address - Country:US
Mailing Address - Phone:323-236-8299
Mailing Address - Fax:
Practice Address - Street 1:527 BOSTWICK AVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-4867
Practice Address - Country:US
Practice Address - Phone:323-236-8299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5080154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist