MEDICARE: AMANDA MEEHAN

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1225982630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MEEHAN

Provider Business Mailing Address
First Line	:	1240 APPLING DR UNIT 307
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3695
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	142 SPORTSMAN ISLAND DR STE E
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29492-8524
Country	:	US
Telephone Number	:	513-283-7345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ AMANDA MEEHAN ” Practice Location

Language	Start Address	Practice Location

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