Physician Compare National (NPI:1205458916)

HEALTHCARE PROVIDER: MEGAN CHAMBERLAIN DOUP SLP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1205458916
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658798178
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200828002720
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOUP
	Individual professional last name
Provider First Name	MEGAN
	Individual professional first name
Provider Middle Name	CHAMBERLAIN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED SPEECH LANGUAGE PATHOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3715 RIVER RD
	Group Practice or individual's line 1 address
City	COLUMBUS
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	472031102
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8123900121
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y