Healthcare Provider Details

I. General information

NPI: 1366597817
Provider Name (Legal Business Name): MEGHAN HILLARY BAULCH CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11000 REGENCY PKWY STE 101
CARY NC
27518-8518
US

IV. Provider business mailing address

11000 REGENCY PKWY STE 101
CARY NC
27518-8518
US

V. Phone/Fax

Practice location:
  • Phone: 919-762-7175
  • Fax: 984-225-2324
Mailing address:
  • Phone: 919-762-7175
  • Fax: 984-225-2324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7274
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: