| Doctor Name: | MRS. MEGAN LEIGH MIMM |
| NPI Number: | 1982726204 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SL009086 |
| Business Practice Address: | 1205 S 28th St Harrisburg, PA - 171111046 |
| Business Phone Number: | 7175657000 |
| Business Fax Number: | |
| Mailing Address: | 301 N Progress Ave Apt J11, HARRISBURG |
| State: | PA |
| Postal Code: | 171096521 |
| Phone Number: | 7244560738 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 06/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL009086 |
| 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 |