Healthcare Provider Details

I. General information

NPI: 1629409503
Provider Name (Legal Business Name): MEGHAN PESCHIERA AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2013
Last Update Date: 12/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BIRCH ST SUITE 304
DERRY NH
03038-2752
US

IV. Provider business mailing address

44 BIRCH ST SUITE 304
DERRY NH
03038-2752
US

V. Phone/Fax

Practice location:
  • Phone: 603-432-8104
  • Fax:
Mailing address:
  • Phone: 603-432-8104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA634
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: