Healthcare Provider Details

I. General information

NPI: 1225991961
Provider Name (Legal Business Name): MEGAN MARIE SCHEELER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 WOODCHUCK RD
EAST AURORA NY
14052
US

IV. Provider business mailing address

68 COOK RD
EAST AURORA NY
14052-2702
US

V. Phone/Fax

Practice location:
  • Phone: 716-652-3000
  • Fax:
Mailing address:
  • Phone: 716-352-1966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number02349701
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: