Megan Pullos, M.A. CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114672 Issued in TX

Practice address

1395 Fairhaven Dr
Mansfield, TX 76063-3766

Phone

(630) 301-0549

Fax

(815) 549-5885

NPI assigned

Jun 21, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

Practice roles

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

• Mansfield Family Therapy Services, LLC

  • Hearing and Speech Clinic/Center
  • Mansfield, TX
  • NPI 1285369439
  NPD Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962448761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 FAIRHAVEN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633766",
            "telephone_number": "630-301-0549",
            "fax_number": "815-549-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 FAIRHAVEN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633766",
            "telephone_number": "630-301-0549",
            "fax_number": "815-549-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLOS",
        "first_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.