MEDICARE: MRS. MEGAN MARIE COX M.A., SLP-CCC

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
1	235Z00000X	Speech-Language Pathologist	SP6343	OH

General Provider Information

NPI Number	:	1043738172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN MARIE COX M.A., SLP-CCC

Provider Business Mailing Address
First Line	:	32388 LEGACY POINTE PKWY
Second Line	:
City	:	AVON LAKE
State	:	OH
Zip	:	44012-2263
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	32388 LEGACY POINTE PKWY
Second Line	:
City	:	AVON LAKE
State	:	OH
Zip	:	44012-2263
Country	:	US
Telephone Number	:	440-669-3114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2017
Last Update Date	:	09/09/2017

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