Doctor Name: | MEGAN PETRAS |
NPI Number: | 1548621733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | TSLP9677 |
Business Practice Address: | 1305 S Gilbert Rd Gilbert, AZ - 852964019 |
Business Phone Number: | 4806218361 |
Business Fax Number: | |
Mailing Address: | 400 N Coronado St, Apartment 3050 CHANDLER |
State: | AZ |
Postal Code: | 852244183 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/15/2016 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TSLP9677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |