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NPI Code Detail

MEDICARE: MEGAN ELIZABETH CHURCH SLP

MEDICARE: MEGAN ELIZABETH CHURCH 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
1235Z00000XSpeech-Language Pathologist05939MD

General Provider Information

NPI Number : 1548498256
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ELIZABETH CHURCH SLP
Provider Business Mailing Address
First Line : 4880 N SHERMAN STREET EXT
Second Line :
City : MOUNT WOLF
State : PA
Zip : 17347-9637
Country : US
Telephone Number : 717-266-9294
Fax Number : 717-384-8071
Provider Business Practice Location Address
First Line : 4880 N SHERMAN STREET EXT
Second Line :
City : MOUNT WOLF
State : PA
Zip : 17347-9637
Country : US
Telephone Number : 717-266-9294
Fax Number : 717-384-8071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2009
Last Update Date : 12/23/2010

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Directions to “ MEGAN ELIZABETH CHURCH SLP” Practice Location

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