Healthcare Provider Details

I. General information

NPI: 1902710809
Provider Name (Legal Business Name): MEGAN CALLENDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2627 W CRESCENT AVE
ANAHEIM CA
92801-4902
US

IV. Provider business mailing address

2627 W CRESCENT AVE
ANAHEIM CA
92801-4902
US

V. Phone/Fax

Practice location:
  • Phone: 714-527-8821
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30873
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: