Megan Long, M.S.
Individual provider Active NPI Speech-Language Pathologist · Wisconsin Dells, WI
NPI 1124471453 · NPPES record last updated Jul 21, 2016
Key facts
- NPI
- 1124471453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 4330154 (WI)
- Practice address
- 300 Race St
Wisconsin Dells, WI 53965-1822 - Phone
- (608) 254-2574
- NPI assigned
- Jul 21, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4330154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4330154 | WI | Yes |
Addresses
Primary practice location
300 Race St
Wisconsin Dells, WI 53965-1822
Mailing address
805 Tanglewood Dr Apt 106
Deforest, WI 53532-1795
Phone (715) 323-6697
Other providers in Wisconsin Dells, WI
- Cheryl Lynn Kolf
- Lake Delton Chiropractic Clinic LLC
- Tamara Marie Laskowski
- Britney Ann Leege
- Betsy Ann Long
- Karin Lyn Luther
- Linda Marston
- Ganna O McGinnis
- Babette Marie Mehling
- Alan P Messa
All providers in Wisconsin Dells, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.