| NPI | 1922843648 |
|---|---|
| Other Name | MEG MCREYNOLDS-FORMWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015342) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: OR 015342) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |