Provider Demographics
NPI:1396167631
Name:INGSTER, MEGAN (MS CCC-SLP/TSSLD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:INGSTER
Suffix:
Gender:F
Credentials:MS CCC-SLP/TSSLD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:MARTINSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP/TSSLD
Mailing Address - Street 1:134 W 26TH ST
Mailing Address - Street 2:SUITE 602
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6803
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:134 W 26TH ST
Practice Address - Street 2:SUITE 602
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6803
Practice Address - Country:US
Practice Address - Phone:212-604-9360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-06
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program