Provider Demographics
NPI:1730746934
Name:BIGLEY, MEGAN JOY (MA CCC SLP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JOY
Last Name:BIGLEY
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2718 SUTTON BLVD
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63143-3036
Mailing Address - Country:US
Mailing Address - Phone:314-246-0751
Mailing Address - Fax:
Practice Address - Street 1:2718 SUTTON BLVD
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MO
Practice Address - Zip Code:63143-3036
Practice Address - Country:US
Practice Address - Phone:314-246-0751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016023395235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO500123442Medicaid
MO034716OtherUNITED HEALTHCARE