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NPI Code Detail

MEDICARE: MEAGAN ROSEL M.S.,CCC-SLP

MEDICARE: MEAGAN ROSEL 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 PathologistSP#3110AR

General Provider Information

NPI Number : 1528503877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN ROSEL M.S.,CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 13525
Second Line :
City : MAUMELLE
State : AR
Zip : 72113-0525
Country : US
Telephone Number : 501-444-2390
Fax Number : 501-851-1137
Provider Business Practice Location Address
First Line : 1401 LABELLE DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-2315
Country : US
Telephone Number : 501-444-2390
Fax Number : 501-851-1137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2016
Last Update Date : 12/22/2016

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Directions to “ MEAGAN ROSEL M.S.,CCC-SLP” Practice Location

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