MEDICARE: MEGAN CROUSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist

General Provider Information

NPI Number	:	1043970247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN CROUSE

Provider Business Mailing Address
First Line	:	1070 S CHELTON RD APT 308
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-2790
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1636 62 FOUNDERS
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104
Country	:	US
Telephone Number	:	303-814-1725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2021
Last Update Date	:	12/29/2021

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Directions to “ MEGAN CROUSE ” Practice Location

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