Provider Demographics
NPI:1194864777
Name:SCHNEIDER, MEGAN ALLEN (MA, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:ALLEN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:ALLEN
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC-A
Mailing Address - Street 1:813 WILLIAMS ST
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-2065
Mailing Address - Country:US
Mailing Address - Phone:413-565-4443
Mailing Address - Fax:413-565-4445
Practice Address - Street 1:813 WILLIAMS ST
Practice Address - Street 2:SUITE 202A
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-2065
Practice Address - Country:US
Practice Address - Phone:413-565-4443
Practice Address - Fax:413-565-4445
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA184231HA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA70020000AD0011OtherBLUE CROSS AND BLUE SHIEL
MA694130OtherTUFTS HEALTH PLAN
MASC021664Medicare ID - Type UnspecifiedMEDICARE PART B