Healthcare Provider Details

I. General information

NPI: 1639015373
Provider Name (Legal Business Name): MEGAN LAWRENCE AL-KHALIL CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 N MAIN ST
MONROE NC
28112-4967
US

IV. Provider business mailing address

3324 ALDERPOINT LN
CHARLOTTE NC
28262-6486
US

V. Phone/Fax

Practice location:
  • Phone: 704-296-6355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30004734
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: