Healthcare Provider Details

I. General information

NPI: 1881414837
Provider Name (Legal Business Name): MEGAN NICOLE PALMER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 10/15/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3445 HIGH POINT BLVD STE 400
BETHLEHEM PA
18017-7817
US

IV. Provider business mailing address

4825 MEYER CT
BETHLEHEM PA
18020-8863
US

V. Phone/Fax

Practice location:
  • Phone: 610-866-5555
  • Fax:
Mailing address:
  • Phone: 484-895-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAT006997
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: