NPI | 1962825349 |
---|---|
Former Name | MEGAN MAUREEN SCANNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012027932) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3379) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-01-21 |