Provider Demographics
NPI:1992966089
Name:BALDWIN, MEAGAN ROGERS (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:ROGERS
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 OTTER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-1808
Mailing Address - Country:US
Mailing Address - Phone:615-972-9644
Mailing Address - Fax:844-965-9328
Practice Address - Street 1:913 OTTER CREEK RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-1808
Practice Address - Country:US
Practice Address - Phone:615-972-9644
Practice Address - Fax:844-965-9328
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3887235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist