Healthcare Provider Details

I. General information

NPI: 1548857683
Provider Name (Legal Business Name): MEGHAN HOUSTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2020
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 SAINT JOHNS PARKSIDE ST
BUFFALO NY
14210-2515
US

IV. Provider business mailing address

92 E GIRARD BLVD
KENMORE NY
14217-2015
US

V. Phone/Fax

Practice location:
  • Phone: 716-828-9500
  • Fax:
Mailing address:
  • Phone: 716-698-2108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number030411
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: