Healthcare Provider Details

I. General information

NPI: 1598844789
Provider Name (Legal Business Name): MEGAN HURST ENWRIGHT CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN RACHELLE HURST

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 05/23/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12419 LA HWY 696
ABBEVILLE LA
70510
US

IV. Provider business mailing address

P.O. DRAWER 520
ABBEVILLE LA
70511
US

V. Phone/Fax

Practice location:
  • Phone: 337-898-5816
  • Fax:
Mailing address:
  • Phone: 337-351-1574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5467
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: