MEDICARE: JULIA MEAGHER MA-CCC/SLP

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
2	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1093963118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA MEAGHER MA-CCC/SLP

Provider Business Mailing Address
First Line	:	390 GABLES DR
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-8358
Country	:	US
Telephone Number	:	937-578-4061
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 GABLES DR
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-8358
Country	:	US
Telephone Number	:	937-578-4061
Fax Number	:

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

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	12/27/2018

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Directions to “ JULIA MEAGHER MA-CCC/SLP” Practice Location

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