Healthcare Provider Details

I. General information

NPI: 1396173381
Provider Name (Legal Business Name): MEGAN BRITTANY SEIBERG MSP, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2013
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 E MAIN ST
LEXINGTON SC
29072-3449
US

IV. Provider business mailing address

113 E MAIN ST
LEXINGTON SC
29072-3449
US

V. Phone/Fax

Practice location:
  • Phone: 803-704-4759
  • Fax: 803-728-3294
Mailing address:
  • Phone: 803-704-4759
  • Fax: 803-728-3294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: