Healthcare Provider Details

I. General information

NPI: 1881508976
Provider Name (Legal Business Name): MEGAN MOTT MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN JONES

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 CLAY BANK RD
FAIRFIELD CA
94533-1655
US

IV. Provider business mailing address

681 S ORCHARD AVE
VACAVILLE CA
95688-4335
US

V. Phone/Fax

Practice location:
  • Phone: 707-399-4840
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP24197
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: