Provider Demographics
NPI:1447559653
Name:BENJAMIN, MEGHAN ANN
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:ANN
Last Name:BENJAMIN
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 1:26 CEDAR ST
Mailing Address - Street 2:#2
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3331
Mailing Address - Country:US
Mailing Address - Phone:508-369-8396
Mailing Address - Fax:
Practice Address - Street 1:105 E GROVE ST
Practice Address - Street 2:READS COLLABORATIVE
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-2743
Practice Address - Country:US
Practice Address - Phone:508-947-3634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5502355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant