Doctor Name: | MRS. MEGAN RENAE SMITH |
NPI Number: | 1316133192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 1221 |
Business Practice Address: | 3811 29th Ave Ste 2 Kearney, NE - 688451280 |
Business Phone Number: | 3082335060 |
Business Fax Number: | 3082335062 |
Mailing Address: | 3811 29th Ave Ste 2, KEARNEY |
State: | NE |
Postal Code: | 688451280 |
Phone Number: | 3082335060 |
Fax Number: | 3082335062 |
NPI Enumeration Date: | 09/14/2007 |
NPI Last Update Date: | 09/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |