Doctor Name: | MRS. MEGAN CARROLL |
NPI Number: | 1821413139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.ED |
License Number: | 725039131 |
Business Practice Address: | 43 E Main St Upper Springville, NY - 141411224 |
Business Phone Number: | 7167943535 |
Business Fax Number: | 7167943536 |
Mailing Address: | 322 Robert Dr, Apt 6 NORTH TONAWANDA |
State: | NY |
Postal Code: | 141205647 |
Phone Number: | 7166099977 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2014 |
NPI Last Update Date: | 02/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 725039131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |