Healthcare Provider Details

I. General information

NPI: 1639736549
Provider Name (Legal Business Name): MEGAN AMRHINE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2019
Last Update Date: 05/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8229 BOONE BLVD STE 660
VIENNA VA
22182-2657
US

IV. Provider business mailing address

6009 BENEVOLENT ST
FREDERICKSBURG VA
22407-8353
US

V. Phone/Fax

Practice location:
  • Phone: 703-821-1363
  • Fax:
Mailing address:
  • Phone: 540-322-6647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: