Healthcare Provider Details

I. General information

NPI: 1194864777
Provider Name (Legal Business Name): MEGAN ALLEN SCHNEIDER M.A., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN ALLEN SCHNEIDER M.A., CCC-A

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 WILLIAMS ST SUITE 202A
LONGMEADOW MA
01106-2065
US

IV. Provider business mailing address

813 WILLIAMS ST SUITE 202A
LONGMEADOW MA
01106-2065
US

V. Phone/Fax

Practice location:
  • Phone: 413-565-4443
  • Fax: 413-565-4445
Mailing address:
  • Phone: 413-565-4443
  • Fax: 413-565-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number184
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: