Doctor Name: | MEGAN WIGGINS |
NPI Number: | 1124379581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC/SLP |
License Number: | 106762 |
Business Practice Address: | 817 N Mound St Nacogdoches, TX - 759614427 |
Business Phone Number: | 9365646907 |
Business Fax Number: | 9365640509 |
Mailing Address: | 817 N Mound St, NACOGDOCHES |
State: | TX |
Postal Code: | 759614427 |
Phone Number: | 9365646907 |
Fax Number: | 9365640509 |
NPI Enumeration Date: | 09/26/2012 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 106762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |