Healthcare Provider Details

I. General information

NPI: 1093345605
Provider Name (Legal Business Name): MEGAN MCCORMICK SPEECH & LANGUAGE THERAPY P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3424 W CARSON ST STE 300
TORRANCE CA
90503-5714
US

IV. Provider business mailing address

3424 W CARSON ST STE 300
TORRANCE CA
90503-5714
US

V. Phone/Fax

Practice location:
  • Phone: 310-948-2258
  • Fax:
Mailing address:
  • Phone: 310-948-2258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEGAN MCCORMICK
Title or Position: OWNER/THERAPIST
Credential: M.S. CCC-SLP
Phone: 310-948-2258