Mary Joan Meehan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL007390 Issued in PA

Practice address

368 Tioga Ave
Kingston, PA 18704

Phone

(570) 718-4667

Fax

(570) 287-5721

NPI assigned

Oct 22, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luzerne Intermediate Unit #18

  • Community/Behavioral Health Agency
  • Kingston, PA
  • NPI 1164557716
  NPD (past)
• Luzerne Iu

  • Local Education Agency (LEA)
  • Kingston, PA
  • NPI 1922197516
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1376843573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 TIOGA AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-718-4667",
            "fax_number": "570-287-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 TIOGA AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-718-4667",
            "fax_number": "570-287-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "MARY JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med-One Supply, Inc.
• Medical Center of Northeastern PA LLC
• Medical Oncology Associates of Wyoming Valley, PC
• Medical Profesional Service, PC
• Kellie Nicole Meehan
• Merc Counseling Services, LLC
• Carlo Anthony Mercadante, LAT, ATC
• William R Mericle, LCSW
• Leah Alexandra Merrick, PA-C
• Michael E Fath, D.O., P.C

• Speech-Language Pathologist in Kingston, PA
• Providers in Kingston, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.