Healthcare Provider Details

I. General information

NPI: 1316276777
Provider Name (Legal Business Name): MEGAN L. SANKOVICH AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN ZAPPULIA

II. Dates (important events)

Enumeration Date: 12/15/2009
Last Update Date: 09/11/2021
Certification Date: 09/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 WEST CHESTER PIKE SUITE 280 THE ELLIS PRESERVE
NEWTOWN SQUARE PA
19073-2304
US

IV. Provider business mailing address

59 BURNT HILL RD
HEBRON CT
06248-1304
US

V. Phone/Fax

Practice location:
  • Phone: 610-557-4800
  • Fax: 610-557-4816
Mailing address:
  • Phone: 860-798-5093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number020000177
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT006138
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number00510
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: