Healthcare Provider Details

I. General information

NPI: 1174035265
Provider Name (Legal Business Name): MEGAN COURTNEY M.S.CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2017
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8133 MOUNTAIN OAK DR
EDMOND OK
73034-4391
US

IV. Provider business mailing address

8133 MOUNTAIN OAK DR
EDMOND OK
73034-4391
US

V. Phone/Fax

Practice location:
  • Phone: 405-808-6472
  • Fax:
Mailing address:
  • Phone: 405-808-6472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: