Megan Richardson, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Strafford, MO

NPI 1881075992 · NPPES record last updated Jul 27, 2016

Key facts

NPI
1881075992
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2015018440 (MO)
Practice address
210 W McCabe St
Strafford, MO 65757-8207
Phone
(417) 736-7000
NPI assigned
Jun 15, 2015
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)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2015018440MOMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2015018440 MO Yes

Addresses

Primary practice location

210 W McCabe St
Strafford, MO 65757-8207

Mailing address

210 W McCabe St
Strafford, MO 65757-8207
Phone (417) 736-7000

Other providers in Strafford, MO

All providers in Strafford, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.