Healthcare Provider Details
I. General information
NPI: 1144315334
Provider Name (Legal Business Name): MEGAN KIMBERLEE FINLEY M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1806 TOWN PLAZA CT
WINTER SPRINGS FL
32708-6206
US
IV. Provider business mailing address
2921 SAN JACINTO CIR
SANFORD FL
32771-6112
US
V. Phone/Fax
- Phone: 407-382-5551
- Fax:
- Phone: 407-463-9615
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SA8147 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: