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NPI Code Detail

MEDICARE: MEGAN PEKULA MS, CCC-SLP

MEDICARE: MEGAN PEKULA MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist7306-154WI

General Provider Information

NPI Number : 1366337719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN PEKULA MS, CCC-SLP
Provider Business Mailing Address
First Line : 3541 PLOVER RD
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-2155
Country : US
Telephone Number : 715-407-4660
Fax Number : 715-407-4738
Provider Business Practice Location Address
First Line : 3541 PLOVER RD
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-2155
Country : US
Telephone Number : 715-407-4660
Fax Number : 715-407-4738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 05/14/2026

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