NPI | 1093231557 |
---|---|
Former Name | MEAGHAN CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08805) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 01455L) |
Enumeration Date | 2017-08-16 |
Last Update Date | 2022-05-03 |