Individual
MEGAN UTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4455 S 108TH ST, GREENFIELD, WI 53228-2504
(414) 427-5370
(414) 307-1853
Mailing address
4455 S 108TH ST, GREENFIELD, WI 53228-2504
(414) 427-5310
(414) 427-5311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4507-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609667393
—
WI
Enumeration date
05/13/2025
Last updated
06/05/2025
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