Doctor Name: | MRS. MEGAN LOGAN BOUNDS |
NPI Number: | 1053632810 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/CCC-SLP |
License Number: | S3209 |
Business Practice Address: | 12303 Highway 49 Gulfport, MS - 395032780 |
Business Phone Number: | 2288326221 |
Business Fax Number: | 2288324033 |
Mailing Address: | 17540 Jones Ln, SAUCIER |
State: | MS |
Postal Code: | 395749181 |
Phone Number: | 6014793522 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2010 |
NPI Last Update Date: | 06/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3209 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |