| Doctor Name: | MEGAN LYNN SPEANBURGH |
| NPI Number: | 1053660308 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SA12543 |
| Business Practice Address: | 807 Childrens Way Jacksonville, FL - 322078426 |
| Business Phone Number: | 9046973707 |
| Business Fax Number: | 9046973511 |
| Mailing Address: | Po Box 191, Provider Enrollment Department ROCKLAND |
| State: | DE |
| Postal Code: | 197320191 |
| Phone Number: | 3026516212 |
| Fax Number: | 3026514945 |
| NPI Enumeration Date: | 08/31/2012 |
| NPI Last Update Date: | 08/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA12543 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |