MEDICARE: MEGAN SPEER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	171M00000X	Case Manager/Care Coordinator
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1982297818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN SPEER

Provider Business Mailing Address
First Line	:	2661 LONG BRANCH DR
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-5854
Country	:	US
Telephone Number	:	812-593-0901
Fax Number	:

Provider Business Practice Location Address
First Line	:	2661 LONG BRANCH DR
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-5854
Country	:	US
Telephone Number	:	812-593-0901
Fax Number	:

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

Provider Enumeration Date	:	02/11/2021
Last Update Date	:	02/11/2021

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Directions to “ MEGAN SPEER ” Practice Location

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