Megan Bucks

Individual provider Active NPI Speech-Language Pathologist · Millbrae, CA

NPI 1437516606 · NPPES record last updated Jan 19, 2016

Key facts

NPI
1437516606
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1101-0000-319210-000 (CA)
Practice address
101 Lerida Ave
Millbrae, CA 94030-2719
Phone
(650) 515-1323
NPI assigned
Jan 19, 2016
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)
No

State licenses

LicenseStateTypeSpecialty
1101-0000-319210-000CAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1101-0000-319210-000 CA Yes

Addresses

Primary practice location

101 Lerida Ave
Millbrae, CA 94030-2719

Mailing address

101 Lerida Ave
Millbrae, CA 94030-2719
Phone (650) 515-1323

Other identifiers

IdentifierTypeStateIssuer
81-1146303MedicaidCA

Other names

  • Megan Baldwin Professional name

Other providers in Millbrae, CA

All providers in Millbrae, CA · Speech-Language Pathologist in California

Sources for this page

Verify at the official NPI Registry.