Provider Demographics
NPI:1154979466
Name:HARRISON, MEGAN RUTH (MS, L-SLP, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:RUTH
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MS, L-SLP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12214 CHERRY POINT DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TX
Mailing Address - Zip Code:77535-2273
Mailing Address - Country:US
Mailing Address - Phone:409-454-8813
Mailing Address - Fax:
Practice Address - Street 1:12214 CHERRY POINT DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TX
Practice Address - Zip Code:77535-2273
Practice Address - Country:US
Practice Address - Phone:409-454-8813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8022235Z00000X
TX119807235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist