Healthcare Provider Details

I. General information

NPI: 1760921811
Provider Name (Legal Business Name): MEGAN UZARSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1972 DEL PASO RD STE 156
SACRAMENTO CA
95834-7725
US

IV. Provider business mailing address

1972 DEL PASO RD STE 156
SACRAMENTO CA
95834-7725
US

V. Phone/Fax

Practice location:
  • Phone: 916-575-8800
  • Fax:
Mailing address:
  • Phone: 916-575-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSPA 4227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: