Provider Demographics
NPI:1326352725
Name:AVEY, MEGAN (AUDIOLOGIST)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:AVEY
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 ENDICOTT ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3623
Mailing Address - Country:US
Mailing Address - Phone:978-745-6601
Mailing Address - Fax:978-624-4040
Practice Address - Street 1:104 ENDICOTT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3623
Practice Address - Country:US
Practice Address - Phone:978-745-6601
Practice Address - Fax:978-624-4040
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MASP-1028-AU231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist