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NPI Code Detail

MEDICARE: MEGAN WULFF M.S. CCC-SLP

MEDICARE: MEGAN WULFF 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 PathologistSLP8599AZ
2235Z00000XSpeech-Language Pathologist3167KS

General Provider Information

NPI Number : 1376969519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN WULFF M.S. CCC-SLP
Provider Business Mailing Address
First Line : 3090 ADOBE SPRINGS DR
Second Line :
City : PRESCOTT
State : AZ
Zip : 86301-6664
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3700 N WINDSONG DR
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-1253
Country : US
Telephone Number : 928-759-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2014
Last Update Date : 03/12/2014

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