Healthcare Provider Details

I. General information

NPI: 1417392077
Provider Name (Legal Business Name): MEGAN ELIZABETH CLEGG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2013
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 N FORGE ST
AKRON OH
44304-1317
US

IV. Provider business mailing address

18 N FORGE ST
AKRON OH
44304-1317
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-0591
  • Fax: 330-762-2242
Mailing address:
  • Phone: 330-762-0591
  • Fax: 330-762-2242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: