MEGAN LOUISE FOUNTAIN

PORT ORANGE, FL
NPI1659097756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2022-10-19
Last Update Date2022-10-19
Business Address
MEGAN LOUISE FOUNTAIN MA CCC/SLP
900 N SWALLOW TAIL DR STE 107
PORT ORANGE, FL 32129-6103
Phone number: 386-679-0159
Mailing Address
MEGAN LOUISE FOUNTAIN MA CCC/SLP
2320 LIPIZZAN TRL
ORMOND BEACH, FL 32174-2517
Phone number: 386-679-0159