Megan Marie Vandepol, MA CCC-SLP

Individual provider Active NPI Developmental Therapist · Marion, MI

NPI 1326466004 · NPPES record last updated Nov 7, 2019

Key facts

NPI
1326466004
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
License
7101000727 (MI)
Practice address
8733 23 Mile Rd
Marion, MI 49665-8010
Phone
(517) 614-3146
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7101000727MIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101000727 MI
Developmental Therapist 222Q00000X 7101000727 MI Yes

Addresses

Primary practice location

8733 23 Mile Rd
Marion, MI 49665-8010

Mailing address

8733 23 Mile Rd
Marion, MI 49665-8010
Phone (517) 614-3146

Other providers in Marion, MI

All providers in Marion, MI · Developmental Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.