Provider Demographics
NPI:1144378571
Name:ADAMS, MEGHANN PARTIN (MS, CCC,SLP)
Entity Type:Individual
Prefix:
First Name:MEGHANN
Middle Name:PARTIN
Last Name:ADAMS
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 1:2611 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-1933
Mailing Address - Country:US
Mailing Address - Phone:919-264-5673
Mailing Address - Fax:919-782-1667
Practice Address - Street 1:2611 GRANT AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27608-1933
Practice Address - Country:US
Practice Address - Phone:919-264-5673
Practice Address - Fax:919-782-1667
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6731235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7412285Medicaid