Meghan A Fay, MS, SLP-CCC

Individual provider Active NPI Speech-Language Pathologist · East Moriches, NY

NPI 1043447121 · NPPES record last updated Jun 16, 2009

Key facts

NPI
1043447121
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
015820 (NY)
Practice address
53 Locust Ave
East Moriches, NY 11940-1432
Phone
(631) 804-2749
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
015820NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 015820 NY Yes

Addresses

Primary practice location

53 Locust Ave
East Moriches, NY 11940-1432

Mailing address

53 Locust Ave
East Moriches, NY 11940-1432
Phone (631) 804-2749

Other providers in East Moriches, NY

All providers in East Moriches, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.