Provider Demographics
NPI:1124200290
Name:WEINBERGER, MEGHAN MOLLOY (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:MOLLOY
Last Name:WEINBERGER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-2509
Mailing Address - Country:US
Mailing Address - Phone:603-714-5559
Mailing Address - Fax:
Practice Address - Street 1:725 BOSTON POST RD
Practice Address - Street 2:SUITE 3
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2736
Practice Address - Country:US
Practice Address - Phone:203-458-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist