Healthcare Provider Details

I. General information

NPI: 1013837467
Provider Name (Legal Business Name): MEGAN ROSE VON HOLTEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4626 E FORT LOWELL RD STE N
TUCSON AZ
85712-1182
US

IV. Provider business mailing address

2918 E LINDEN ST
TUCSON AZ
85716-3052
US

V. Phone/Fax

Practice location:
  • Phone: 602-892-9944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: