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NPI Code Detail

MEDICARE: MRS. MEGHAN MCKENNA CALLA MS CCCSLP

MEDICARE:  MRS. MEGHAN MCKENNA CALLA  MS CCCSLP
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 PathologistSZ3947FL
2235Z00000XSpeech-Language PathologistSA 9463FL

Other Identifiers

General Provider Information

NPI Number : 1174672570
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGHAN MCKENNA CALLA MS CCCSLP
Provider Business Mailing Address
First Line : 2608 ACKLINS RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-7750
Country : US
Telephone Number : 813-990-7170
Fax Number :
Provider Business Practice Location Address
First Line : 2608 ACKLINS RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-7750
Country : US
Telephone Number : 813-990-7170
Fax Number : 561-225-1718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 10/16/2017

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Directions to “ MRS. MEGHAN MCKENNA CALLA MS CCCSLP” Practice Location

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