Megan Long, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4330154 Issued in WI

Practice address

300 Race St
Wisconsin Dells, WI 53965-1822

Phone

(608) 254-2574

NPI assigned

Jul 21, 2016

Last updated

Jul 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1124471453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 TANGLEWOOD DR APT 106",
            "city": "DEFOREST",
            "state": "WI",
            "postal_code": "535321795",
            "telephone_number": "715-323-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RACE ST",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539651822",
            "telephone_number": "608-254-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MEGAN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4330154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Kolf, MS-MHC, MED, LPC
• Lake Delton Chiropractic Clinic LLC (HealthSource Chiropractic & Progressive Wellness)
• Tamara Marie Laskowski, LCSW
• Britney Ann Leege, PTA
• Betsy Ann Long, D.D.S.
• Karin Lyn Luther, PT
• Linda Marston
• Julia Marie McAlpin, RN
• Ganna O McGinnis
• Babette Marie Mehling, APNP

• Speech-Language Pathologist in Wisconsin Dells, WI
• Providers in Wisconsin Dells, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.