Basic Information
| Provider Information | |||||||||
| NPI: | 1316276777 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SANKOVICH | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | L. | ||||||||
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| Credential: | AUD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | ZAPPULIA | ||||||||
| OtherFirstName: | MEGAN | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 59 BURNT HILL RD | ||||||||
| Address2: | |||||||||
| City: | HEBRON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 062481304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8607985093 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3855 WEST CHESTER PIKE | ||||||||
| Address2: | SUITE 280 THE ELLIS PRESERVE | ||||||||
| City: | NEWTOWN SQUARE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190732304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105574800 | ||||||||
| FaxNumber: | 6105574816 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2009 | ||||||||
| LastUpdateDate: | 09/11/2021 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 09/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 020000177 | DE | N | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | AT006138 | PA | N | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | 00510 | CT | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.