Doctor Name: | MEGAN REILLY |
NPI Number: | 1942506100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | SLP000291 |
Business Practice Address: | 10805 Main St Ste 100 Fairfax, VA - 220304729 |
Business Phone Number: | 7039788400 |
Business Fax Number: | |
Mailing Address: | 10805 Main St Ste 100, FAIRFAX |
State: | VA |
Postal Code: | 220304729 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP000291 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
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 |