Megan Tobin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010718 Issued in PA

Practice address

110 Ford BLDG
The Pennsylvania State University
University Park, PA 16802-3000

Phone

(814) 865-5414

NPI assigned

Jul 25, 2012

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania State University

  • Point of Service
  • University Park, PA
  • NPI 1184992554
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1841546058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 TEABERRY LN",
            "address_2": "D206",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032986",
            "telephone_number": "585-503-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FORD BLDG",
            "address_2": "THE PENNSYLVANIA STATE UNIVERSITY",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168023000",
            "telephone_number": "814-865-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "MEGAN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Pennsylvania State University (Psychological Clinic)
• The Pennsylvania State University (Pennsylvania State University Sports Medicine)
• The Pennsylvania State University (Center for Counseling and Psychological Services)
• The Pennylvania State University
• Jennifer Thistle, CCC-SLP
• Dawn Renee Treaster
• Heidi Tujague, RN
• University Ambulance Service
• Desirae Elizabeth Urmann, LPN
• Giampietro Luciano Vairo, PHD, ATC

• Speech-Language Pathologist in University Park, PA
• Providers in University Park, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.