MEDICARE: MEGHAN WIEBER SPEECH & FEDDING THERAPY

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

General Provider Information

NPI Number	:	1962356287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEGHAN WIEBER SPEECH & FEDDING THERAPY

Provider Business Mailing Address
First Line	:	50 MERRIMAN AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-2431
Country	:	US
Telephone Number	:	718-873-5733
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 MERRIMAN AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-2431
Country	:	US
Telephone Number	:	718-873-5733
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	MEGHAN WIEBER
Credential	:	M.A. CCC-SLP
Telephone Number	:	718-873-5733

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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