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NPI Code Detail

MEDICARE: MEGAN EMILY SULLIVAN

MEDICARE: MEGAN EMILY SULLIVAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist30003486NC

General Provider Information

NPI Number : 1013732072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN EMILY SULLIVAN
Provider Business Mailing Address
First Line : 26 HUNTINGTON ST
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-3716
Country : US
Telephone Number : 407-595-7535
Fax Number :
Provider Business Practice Location Address
First Line : 3016 CANE CREEK RD
Second Line :
City : FAIRVIEW
State : NC
Zip : 28730-8743
Country : US
Telephone Number : 828-628-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2024
Last Update Date : 11/15/2024

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Directions to “ MEGAN EMILY SULLIVAN ” Practice Location

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