Provider Demographics
NPI:1053518282
Name:DILWORTH, MEGAN MARIE (MS CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:MARIE
Last Name:DILWORTH
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 WESTMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-7045
Mailing Address - Country:US
Mailing Address - Phone:509-995-9273
Mailing Address - Fax:
Practice Address - Street 1:2929 S WATERFORD DR
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-4400
Practice Address - Country:US
Practice Address - Phone:509-381-8261
Practice Address - Fax:509-535-0724
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003692235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist