MEDICARE: MEGHAN RILEY WILLIAMSON CF-SLP

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	SZ12081	FL
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1477396729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN RILEY WILLIAMSON CF-SLP

Provider Business Mailing Address
First Line	:	11783 QUARTER HORSE DR
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-6709
Country	:	US
Telephone Number	:	412-915-4791
Fax Number	:

Provider Business Practice Location Address
First Line	:	6965 PIAZZA GRANDE AVE STE 208
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8780
Country	:	US
Telephone Number	:	321-437-3393
Fax Number	:

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

Provider Enumeration Date	:	06/14/2024
Last Update Date	:	08/01/2024

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