Provider Demographics
NPI:1447695499
Name:KATO, MEGAN K (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:K
Last Name:KATO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 CAVIAR ST
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-7738
Mailing Address - Country:US
Mailing Address - Phone:907-714-4536
Mailing Address - Fax:907-283-7300
Practice Address - Street 1:260 CAVIAR ST
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-7738
Practice Address - Country:US
Practice Address - Phone:907-714-4536
Practice Address - Fax:907-283-7300
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK403235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist