Provider Demographics
NPI:1962775155
Name:SLATER, MEAGAN MARIE (MA SLP-CCC)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:MARIE
Last Name:SLATER
Suffix:
Gender:F
Credentials:MA SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13660 W ALASKA DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2420
Mailing Address - Country:US
Mailing Address - Phone:303-986-4988
Mailing Address - Fax:
Practice Address - Street 1:13660 W ALASKA DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2420
Practice Address - Country:US
Practice Address - Phone:303-986-4988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist