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NPI Code Detail

MEDICARE: MEGAN DEVRIES M.S., CCC-SLP

MEDICARE:   MEGAN  DEVRIES  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
1235Z00000XSpeech-Language Pathologist23264CA

General Provider Information

NPI Number : 1225404122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN DEVRIES M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2256 FERN AVE
Second Line :
City : MERCED
State : CA
Zip : 95341-5428
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3169 M ST
Second Line :
City : MERCED
State : CA
Zip : 95348-2404
Country : US
Telephone Number : 352-989-6310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2015
Last Update Date : 08/13/2015

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

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