Healthcare Provider Details

I. General information

NPI: 1295645935
Provider Name (Legal Business Name): MARIA DI MEGLIO MA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1590 ALPINE DR
COLUMBUS OH
43229-2198
US

IV. Provider business mailing address

1590 ALPINE DR
COLUMBUS OH
43229-2198
US

V. Phone/Fax

Practice location:
  • Phone: 614-365-5359
  • Fax:
Mailing address:
  • Phone: 614-365-5359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.17019
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: