Provider Demographics
NPI:1154756203
Name:COMBS, MEGAN (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:COMBS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 LOMAS BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-5804
Mailing Address - Country:US
Mailing Address - Phone:505-559-2200
Mailing Address - Fax:505-848-9468
Practice Address - Street 1:12200 LOMAS BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-5804
Practice Address - Country:US
Practice Address - Phone:505-559-2200
Practice Address - Fax:505-848-9468
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-5371235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist