MEDICARE: MEGHAN SELL M.H.S., CCC-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	279744	CO
2	235Z00000X	Speech-Language Pathologist	146.012273	IL

General Provider Information

NPI Number	:	1639586282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN SELL M.H.S., CCC-SLP

Provider Business Mailing Address
First Line	:	4018 PERRY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2170
Country	:	US
Telephone Number	:	573-216-2205
Fax Number	:

Provider Business Practice Location Address
First Line	:	4018 PERRY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2170
Country	:	US
Telephone Number	:	573-216-2205
Fax Number	:

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

Provider Enumeration Date	:	07/15/2014
Last Update Date	:	01/04/2024

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