Healthcare Provider Details

I. General information

NPI: 1356286546
Provider Name (Legal Business Name): MEGAN E CHARNEY CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 UNION ST
SAN FRANCISCO CA
94123-4507
US

IV. Provider business mailing address

1640 UNION ST
SAN FRANCISCO CA
94123-4507
US

V. Phone/Fax

Practice location:
  • Phone: 415-567-8133
  • Fax:
Mailing address:
  • Phone: 707-927-6225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41021
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: