Megan Tequero, M.A. CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101004270 Issued in MI

Practice address

1025 E Maple Rd
Suite B11
Birmingham, MI 48009-6426

Phone

(248) 760-2121

Fax

(248) 686-2498

NPI assigned

Jan 2, 2016

Last updated

Aug 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1457717720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KIRTS BLVD",
            "address_2": "STE 305",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844892",
            "telephone_number": "248-760-2121",
            "fax_number": "248-686-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E MAPLE RD",
            "address_2": "SUITE B11",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096426",
            "telephone_number": "248-760-2121",
            "fax_number": "248-686-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEQUERO",
        "first_name": "MEGAN",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-02",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.