Doctor Name: | MARY JOAN MEEHAN |
NPI Number: | 1376843573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL007390 |
Business Practice Address: | 368 Tioga Ave Kingston, PA - 18704 |
Business Phone Number: | 5707184667 |
Business Fax Number: | 5702875721 |
Mailing Address: | 368 Tioga Ave, KINGSTON |
State: | PA |
Postal Code: | 18704 |
Phone Number: | 5707184667 |
Fax Number: | 5702875721 |
NPI Enumeration Date: | 10/22/2010 |
NPI Last Update Date: | 10/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL007390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |