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NPI Code Detail

MEDICARE: MEGAN ELIZABETH MERCURIO M.A., SLP-CCC

MEDICARE: MEGAN ELIZABETH MERCURIO M.A., SLP-CCC
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 PathologistSP - 8593OH

General Provider Information

NPI Number : 1528178746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ELIZABETH MERCURIO M.A., SLP-CCC
Provider Business Mailing Address
First Line : 8695 HARPER POINT DR
Second Line : APT. C
City : CINCINNATI
State : OH
Zip : 45249-2437
Country : US
Telephone Number : 513-967-4954
Fax Number :
Provider Business Practice Location Address
First Line : 2651 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2551
Country : US
Telephone Number : 513-363-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 03/19/2014

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