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NPI Code Detail

MEDICARE: MEGAN REIMER MSCCC SLP

MEDICARE:   MEGAN  REIMER  MSCCC 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 Pathologist2501-154WI

General Provider Information

NPI Number : 1538246210
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN REIMER MSCCC SLP
Provider Business Mailing Address
First Line : 1455 COOK ST
Second Line :
City : DE PERE
State : WI
Zip : 54115-3151
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 S BROADWAY
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-1516
Country : US
Telephone Number : 920-858-5227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 05/18/2026

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Directions to “ MEGAN REIMER MSCCC SLP” Practice Location

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