Megan Cicotte
Individual provider Active NPI Speech-Language Pathologist · Fraser, MI
NPI 1811539489 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1811539489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7101005210 (MI)
- Practice address
- 33737 Vista Way
Fraser, MI 48026-1744 - Phone
- (586) 850-8418
- NPI assigned
- Oct 15, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101005210 | MI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101005210 | MI | Yes |
Addresses
Primary practice location
33737 Vista Way
Fraser, MI 48026-1744
Mailing address
33737 Vista Way
Fraser, MI 48026-1744
Other practice location 1
32100 Telegraph Suite 205
Bingham Farms, MI 48025
Phone (248) 712-4266
Other providers in Fraser, MI
- James G Cawthorne
- Center of Natural Therapies PC
- Chism Chiropractic Clinic PC
- Deepti Rose Chorath
- Christopher Charles Harris, Professional Corporation
- City of Fraser
- Clearview Home Health Care LLC
- Luis Collazo
- Gwenesia S Collins
- Community Dental Care P.C.
All providers in Fraser, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.