Megan Pullos Ma, CCC-SLP/L, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

146008257 Issued in IL

Legal business name

MEGAN PULLOS MA, CCC-SLP/L, LLC

Practice address

12708 Shenandoah TRL
Plainfield, IL 60585-4703

Phone

(630) 301-0549

Fax

(815) 254-8635

NPI assigned

Aug 28, 2007

Last updated

Jul 13, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Megan Pullos Pullos, M.A., CCC-SLP/L

Title

Speech-Language Pathologist

Phone

(630) 301-0549

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1124212675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12708 SHENANDOAH TRL",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605854703",
            "telephone_number": "630-301-0549",
            "fax_number": "815-254-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12708 SHENANDOAH TRL",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605854703",
            "telephone_number": "630-301-0549",
            "fax_number": "815-254-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN PULLOS MA, CCC-SLP/L, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "PULLOS",
        "authorized_official_first_name": "MEGAN PULLOS",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "630-301-0549",
        "authorized_official_credential": "M.A., CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "146008257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.