Provider Demographics
NPI:1497985675
Name:HERRINGTON, MEGHAN MARIE
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:MARIE
Last Name:HERRINGTON
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:PO BOX 5952
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28687-5952
Mailing Address - Country:US
Mailing Address - Phone:704-380-0799
Mailing Address - Fax:704-799-3873
Practice Address - Street 1:410 BRIDLE PATH FARM RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:NC
Practice Address - Zip Code:27013-8157
Practice Address - Country:US
Practice Address - Phone:704-380-0799
Practice Address - Fax:704-799-3873
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8082235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist