Provider Demographics
NPI:1609383835
Name:FOOTE, MEGHAN LYNN
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:LYNN
Last Name:FOOTE
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:LYNN
Other - Last Name:FOOTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:410 E MERCED AVE STE E
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-5058
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:410 E MERCED AVE STE E
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-5058
Practice Address - Country:US
Practice Address - Phone:323-426-6402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist