Provider Demographics
NPI:1396319802
Name:ADKINS, MEGAN (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:ADKINS
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 1:101 TERRACE DR APT E
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3579
Mailing Address - Country:US
Mailing Address - Phone:984-484-4258
Mailing Address - Fax:
Practice Address - Street 1:1301 WAKE FOREST RD APT 106
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1335
Practice Address - Country:US
Practice Address - Phone:919-537-9425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14754235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNAMedicaid