Megan Jean Berg, MS CFY-SLP

Individual provider Active NPI Speech-Language Pathologist · Watertown, MN

NPI 1699435552 · NPPES record last updated Dec 20, 2021

Key facts

NPI
1699435552
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
518160 (MN)
Practice address
200 Lewis Ave S Ste 210
Watertown, MN 55388-4547
Phone
(952) 955-2242
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
No

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
518160MNMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 518160 MN Yes

Addresses

Primary practice location

200 Lewis Ave S Ste 210
Watertown, MN 55388-4547

Mailing address

200 Lewis Ave S Ste 210
Watertown, MN 55388-4547
Phone (952) 955-2242

Other providers in Watertown, MN

All providers in Watertown, MN · Speech-Language Pathologist in Minnesota

Sources for this page

Verify at the official NPI Registry.