NPI | 1003268574 |
---|---|
Former Name | MEGHAN F CASEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13106) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5906) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2019-04-25 |