MEDICARE: MEGAN HOLLAND

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.15780	OH

General Provider Information

NPI Number	:	1366392722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN HOLLAND

Provider Business Mailing Address
First Line	:	24995 STATE ROUTE 739
Second Line	:
City	:	RAYMOND
State	:	OH
Zip	:	43067-9748
Country	:	US
Telephone Number	:	614-702-6661
Fax Number	:

Provider Business Practice Location Address
First Line	:	14198 STATE ROUTE 4
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-9048
Country	:	US
Telephone Number	:	937-578-6400
Fax Number	:

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ MEGAN HOLLAND ” Practice Location

Language	Start Address	Practice Location

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