Organization
143 SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN TUCKER MA CCC-SLP (OWNER/SPEECH THERAPIST)
(515) 216-0161
Entity
Organization
Contact information
Practice address
939 OFFICE PARK RD STE 104, WEST DES MOINES, IA 50265-2505
(515) 216-0161
(515) 400-1202
Mailing address
1909 74TH ST, WINDSOR HEIGHTS, IA 50324-5701
(515) 321-6802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140983
—
IA
01
—
16308494
CAQH
—
Enumeration date
03/17/2025
Last updated
03/17/2025
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