MEDICARE: MICHELLE MARGARET GEERS MS, 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
1	235Z00000X	Speech-Language Pathologist	14044632	NC

General Provider Information

NPI Number	:	1740559533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MARGARET GEERS MS, CCC-SLP

Provider Business Mailing Address
First Line	:	2240 NEW RIVER INLET RD
Second Line	:	UNIT 227
City	:	N TOPSAIL BEACH
State	:	NC
Zip	:	28460-9482
Country	:	US
Telephone Number	:	251-490-6364
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 NEW RIVER INLET RD
Second Line	:	UNIT 227
City	:	N TOPSAIL BEACH
State	:	NC
Zip	:	28460-9482
Country	:	US
Telephone Number	:	251-490-6364
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2011
Last Update Date	:	12/22/2011

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