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NPI Code Detail

MEDICARE: MEGHAN ELISABETH WIEDERKEHR

MEDICARE:   MEGHAN ELISABETH WIEDERKEHR
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 Pathologist

General Provider Information

NPI Number : 1588439889
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN ELISABETH WIEDERKEHR
Provider Business Mailing Address
First Line : 18139 GLENLEDI DR
Second Line :
City : HOUSTON
State : TX
Zip : 77084-6702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18139 GLENLEDI DR
Second Line :
City : HOUSTON
State : TX
Zip : 77084-6702
Country : US
Telephone Number : 832-732-5777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2023
Last Update Date : 11/17/2023

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Directions to “ MEGHAN ELISABETH WIEDERKEHR ” Practice Location

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