Doctor Name: | MEGAN SMITH |
NPI Number: | 1831567262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 074918 |
Business Practice Address: | 2461 10th St Ste 203 Coralville, IA - 522411201 |
Business Phone Number: | 3193586323 |
Business Fax Number: | 3193827822 |
Mailing Address: | 2461 10th St Ste 203, CORALVILLE |
State: | IA |
Postal Code: | 522411201 |
Phone Number: | 3193586323 |
Fax Number: | 3193827822 |
NPI Enumeration Date: | 09/02/2015 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 074918 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |