MEDICARE: MEAGAN LOEFFLER M.S. ED 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	SP2409	ME

General Provider Information

NPI Number	:	1346633088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN LOEFFLER M.S. ED CCC-SLP

Provider Business Mailing Address
First Line	:	4 SPRING ST APT B
Second Line	:
City	:	ROCHESTER
State	:	NH
Zip	:	03868-5830
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 ELM ST
Second Line	:
City	:	NORTH BERWICK
State	:	ME
Zip	:	03906-6724
Country	:	US
Telephone Number	:	207-676-1301
Fax Number	:	207-676-1302

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

Provider Enumeration Date	:	03/05/2015
Last Update Date	:	03/05/2015

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Directions to “ MEAGAN LOEFFLER M.S. ED CCC-SLP” Practice Location

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