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NPI Code Detail

MEDICARE: MEGHAN FAVIA II SLP

MEDICARE:   MEGHAN  FAVIA II 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 Pathologist107750TX

General Provider Information

NPI Number : 1396277620
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN FAVIA II SLP
Provider Business Mailing Address
First Line : 2104 WOODWAY DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-1639
Country : US
Telephone Number : 817-818-0918
Fax Number :
Provider Business Practice Location Address
First Line : 2104 WOODWAY DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-1639
Country : US
Telephone Number : 817-818-0918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 03/27/2017

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Directions to “ MEGHAN FAVIA II SLP” Practice Location

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