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NPI Code Detail

MEDICARE: MEGAN L. BEVINGTON MS, CCC-SLP

MEDICARE: MEGAN L. BEVINGTON 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
1235Z00000XSpeech-Language Pathologist22004481AIN

General Provider Information

NPI Number : 1861637134
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN L. BEVINGTON MS, CCC-SLP
Provider Business Mailing Address
First Line : 9555 LONGWELL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-1198
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4102 SHORE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2608
Country : US
Telephone Number : 317-347-9051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2008
Last Update Date : 12/15/2008

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Directions to “ MEGAN L. BEVINGTON MS, CCC-SLP” Practice Location

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