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NPI Code Detail

MEDICARE: MEGHAN L GALLAGHER M.S.-CCC.SLP

MEDICARE: MEGHAN L GALLAGHER 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 Pathologist837-154WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679561039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN L GALLAGHER M.S.-CCC.SLP
Provider Business Mailing Address
First Line : 3 NEENAH CTR
Second Line :
City : NEENAH
State : WI
Zip : 54956-3070
Country : US
Telephone Number : 715-526-2111
Fax Number : 715-526-7308
Provider Business Practice Location Address
First Line : 100 COUNTY ROAD B
Second Line :
City : SHAWANO
State : WI
Zip : 54166-7072
Country : US
Telephone Number : 715-526-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 10/19/2022

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Directions to “ MEGHAN L GALLAGHER M.S.-CCC.SLP” Practice Location

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