Provider Demographics
NPI:1710406111
Name:MCCARTHY, MEGAN ELISE HESSION (SLP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELISE HESSION
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 CONESTOGA CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-3009
Mailing Address - Country:US
Mailing Address - Phone:410-241-3836
Mailing Address - Fax:
Practice Address - Street 1:9810 PATUXENT WOODS DR STE C
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046
Practice Address - Country:US
Practice Address - Phone:443-923-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07902235Z00000X
WALL60771543235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD07902OtherSLP LICENSE