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NPI Code Detail

MEDICARE: ANNIKA COLETTE MEGINNIS M.S. CCC-SLP

MEDICARE:   ANNIKA COLETTE MEGINNIS  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 Pathologist8970NC

General Provider Information

NPI Number : 1578982336
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIKA COLETTE MEGINNIS M.S. CCC-SLP
Provider Business Mailing Address
First Line : 3506 OLD LAKE CT
Second Line :
City : STOKESDALE
State : NC
Zip : 27357-9440
Country : US
Telephone Number : 702-622-6920
Fax Number :
Provider Business Practice Location Address
First Line : 925 NEW GARDEN RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-3245
Country : US
Telephone Number : 336-292-8187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2014
Last Update Date : 04/16/2025

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Directions to “ ANNIKA COLETTE MEGINNIS M.S. CCC-SLP” Practice Location

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