Healthcare Provider Details

I. General information

NPI: 1053961383
Provider Name (Legal Business Name): MEGAN C SAATHOFF RBT, SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 SAINT CHARLES ROCK RD
OVERLAND MO
63114-4241
US

IV. Provider business mailing address

12110 CLAYTON RD
SAINT LOUIS MO
63131-2599
US

V. Phone/Fax

Practice location:
  • Phone: 314-493-6105
  • Fax:
Mailing address:
  • Phone: 314-989-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2023023496
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-19-91882
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: