MEDICARE: MEGAN CHRISTINE FRASER M.S., 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	SP#P8060	AR

General Provider Information

NPI Number	:	1174798920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN CHRISTINE FRASER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	409 N THOMPSON ST
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72764-4118
Country	:	US
Telephone Number	:	794-750-8880
Fax Number	:	844-952-0184

Provider Business Practice Location Address
First Line	:	420 N WEST END ST
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72764-3002
Country	:	US
Telephone Number	:	479-750-8859
Fax Number	:	479-750-8861

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

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	02/08/2024

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Directions to “ MEGAN CHRISTINE FRASER M.S., CCC-SLP” Practice Location

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