Megan Katherine Canniff, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Middlebury, CT

NPI 1144522376 · NPPES record last updated Nov 19, 2010

Key facts

NPI
1144522376
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
003641 (CT)
Practice address
57 White Ave
Middlebury, CT 06762-2729
Phone
(203) 206-8694
NPI assigned
Nov 19, 2010
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
015338-1NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 003641 CT Yes
Speech-Language Pathologist 235Z00000X 015338-1 NY

Addresses

Primary practice location

57 White Ave
Middlebury, CT 06762-2729

Mailing address

57 White Ave
Middlebury, CT 06762-2729
Phone (203) 206-8694

Other providers in Middlebury, CT

All providers in Middlebury, CT · Speech-Language Pathologist in Connecticut

Sources for this page

Verify at the official NPI Registry.