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NPI Code Detail

MEDICARE: MEGHAN ELLYN MCNAULL

MEDICARE: MEGHAN ELLYN MCNAULL
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
1222Q00000XDevelopmental Therapist
2103K00000XBehavior Analyst

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 : 1962986075
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN ELLYN MCNAULL
Provider Business Mailing Address
First Line : 619 DOLLEY MADISON RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-4205
Country : US
Telephone Number : 813-838-4732
Fax Number : 813-337-0937
Provider Business Practice Location Address
First Line : 619 DOLLEY MADISON RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-4205
Country : US
Telephone Number : 813-838-4732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2018
Last Update Date : 11/09/2023

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Directions to “ MEGHAN ELLYN MCNAULL ” Practice Location

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