Doctor Name: | MS. SHANNON BETH MEEGAN |
NPI Number: | 1285906024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 012372-1 |
Business Practice Address: | 2126 Penfield Rd Harris Hill Elementary School Penfield, NY - 14526 |
Business Phone Number: | 5852496600 |
Business Fax Number: | 5852496616 |
Mailing Address: | 2126 Penfield Rd, PENFIELD |
State: | NY |
Postal Code: | 14526 |
Phone Number: | 5852495700 |
Fax Number: | 5852488412 |
NPI Enumeration Date: | 02/08/2012 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 012372-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |