Healthcare Provider Details

I. General information

NPI: 1225961329
Provider Name (Legal Business Name): MEAGAN ERIN BATES SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3526 SILVERSIDE RD STE 37
WILMINGTON DE
19810-4901
US

IV. Provider business mailing address

417 GREENWOOD DR
WILMINGTON DE
19808-1959
US

V. Phone/Fax

Practice location:
  • Phone: 847-852-0928
  • Fax:
Mailing address:
  • Phone: 302-824-6482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberO1-0011839
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: