Healthcare Provider Details

I. General information

NPI: 1326978610
Provider Name (Legal Business Name): MEGHAN CONNEALY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 GRANT ST
HEALDSBURG CA
95448-3921
US

IV. Provider business mailing address

520 MONTE VISTA AVE
HEALDSBURG CA
95448-3543
US

V. Phone/Fax

Practice location:
  • Phone: 707-431-3410
  • Fax:
Mailing address:
  • Phone: 707-473-4384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number29591
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: