Provider Demographics
NPI:1588737795
Name:JOHNSON, MEGAN LOUISE (MA, CCC-A)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LOUISE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:LOUISE
Other - Last Name:GALLAGHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1618 GUNBARREL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4139
Mailing Address - Country:US
Mailing Address - Phone:423-710-1432
Mailing Address - Fax:423-710-1433
Practice Address - Street 1:5617 HIGHWAY 153 STE 203
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343
Practice Address - Country:US
Practice Address - Phone:423-713-5266
Practice Address - Fax:423-713-5269
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter