Doctor Name: | MEGHAN DELONG |
NPI Number: | 1023363876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SI1580 |
Business Practice Address: | 602 Vonderburg Dr Suite 201 Brandon, FL - 335115900 |
Business Phone Number: | 8136531149 |
Business Fax Number: | 8136546644 |
Mailing Address: | 602 Vonderburg Dr, Suite 201 BRANDON |
State: | FL |
Postal Code: | 335115900 |
Phone Number: | 8136531149 |
Fax Number: | 8136546644 |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SI1580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |