MEGAN VAN NAME

TALLAHASSEE, FL
NPI1750630091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA 12590)
Enumeration Date2012-08-31
Last Update Date2019-02-28
Business Address
MEGAN VAN NAME
1242 N DUVAL ST
TALLAHASSEE, FL 32303-6115
Phone number: 941-920-0734
Mailing Address
MEGAN VAN NAME
1242 N DUVAL ST
TALLAHASSEE, FL 32303-6115
Phone number: