MEDICARE: MISS MEGHAN ROSE WERNER 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
1	235Z00000X	Speech-Language Pathologist	019693	NY

General Provider Information

NPI Number	:	1780994657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MEGHAN ROSE WERNER M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	147 BEACH 123RD ST
Second Line	:
City	:	ROCKAWAY PARK
State	:	NY
Zip	:	11694-1837
Country	:	US
Telephone Number	:	347-733-7484
Fax Number	:

Provider Business Practice Location Address
First Line	:	147 BEACH 123RD ST
Second Line	:
City	:	ROCKAWAY PARK
State	:	NY
Zip	:	11694-1837
Country	:	US
Telephone Number	:	347-733-7484
Fax Number	:

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

Provider Enumeration Date	:	10/13/2010
Last Update Date	:	08/17/2016

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Directions to “ MISS MEGHAN ROSE WERNER M.S. CCC-SLP” Practice Location

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