MEDICARE: MEGHANN STAMPER MA 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	SA1460	FL

General Provider Information

NPI Number	:	1437596806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHANN STAMPER MA CCC-SLP

Provider Business Mailing Address
First Line	:	10100 NW 37TH ST
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-2874
Country	:	US
Telephone Number	:	970-646-2606
Fax Number	:

Provider Business Practice Location Address
First Line	:	10100 NW 37TH ST
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-2874
Country	:	US
Telephone Number	:	970-646-2606
Fax Number	:

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

Provider Enumeration Date	:	05/25/2013
Last Update Date	:	05/25/2013

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Directions to “ MEGHANN STAMPER MA CCC-SLP” Practice Location

Language	Start Address	Practice Location

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