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NPI Code Detail

MEDICARE: MEGAN NICOLE FOLSOM

MEDICARE: MEGAN NICOLE FOLSOM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124518048
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN NICOLE FOLSOM
Provider Business Mailing Address
First Line : 5239 WINCEY GROVES RD
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-8605
Country : US
Telephone Number : 727-543-9034
Fax Number :
Provider Business Practice Location Address
First Line : 4705 S APOPKA VINELAND RD STE 100
Second Line :
City : ORLANDO
State : FL
Zip : 32819-3151
Country : US
Telephone Number : 407-905-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2018
Last Update Date : 04/05/2021

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Directions to “ MEGAN NICOLE FOLSOM ” Practice Location

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