Basic Information
| Provider Information | |||||||||
| NPI: | 1346628575 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FEIST | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | |||||||||
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| Credential: | MSC.SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 980 ROOSEVELT | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926203672 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9493336400 | ||||||||
| FaxNumber: | 9493336440 | ||||||||
| Practice Location | |||||||||
| Address1: | 980 ROOSEVELT | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926203672 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9493336400 | ||||||||
| FaxNumber: | 9493336440 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2015 | ||||||||
| LastUpdateDate: | 05/07/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 9756 | CA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.