Meghan N Killingsworth, ITDS

Individual provider Active NPI Developmental Therapist · Melbourne Beach, FL

NPI 1124276902 · NPPES record last updated Feb 20, 2017

Key facts

NPI
1124276902
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
901 Atlantic St
Melbourne Beach, FL 32951-2210
Phone
(904) 662-6149
NPI assigned
Sep 4, 2008
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

901 Atlantic St
Melbourne Beach, FL 32951-2210

Mailing address

901 Atlantic St
Melbourne Beach, FL 32951-2210
Phone (904) 662-6149

Other names

  • Meghan N Dill Former name

Other providers in Melbourne Beach, FL

All providers in Melbourne Beach, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.