Provider Demographics
NPI:1235265497
Name:FORD, MEGAN
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:FORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 KING ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1275
Mailing Address - Country:US
Mailing Address - Phone:978-952-2500
Mailing Address - Fax:978-952-2502
Practice Address - Street 1:435 KING ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1275
Practice Address - Country:US
Practice Address - Phone:978-952-2500
Practice Address - Fax:978-952-2502
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA656231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist