Provider Demographics
NPI:1366722472
Name:MARQUEZ, MEGAN R (SLP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:R
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:R
Other - Last Name:HOODENPYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6525 18TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8674
Mailing Address - Country:US
Mailing Address - Phone:970-506-7000
Mailing Address - Fax:
Practice Address - Street 1:6525 18TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-8674
Practice Address - Country:US
Practice Address - Phone:970-506-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12099715235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist