Provider Demographics
NPI:1558687343
Name:ROCHE, MEGHAN J (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:J
Last Name:ROCHE
Suffix:
Gender:F
Credentials:MS CCC-SLP
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Other - Credentials:
Mailing Address - Street 1:5 N MEADOWS RD
Mailing Address - Street 2:SPEECH-LANGUAGE & HEARING ASSOCIATES OF GREATER BOSTON
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-2317
Mailing Address - Country:US
Mailing Address - Phone:508-359-4532
Mailing Address - Fax:508-359-0198
Practice Address - Street 1:5 N MEADOWS RD
Practice Address - Street 2:SPEECH-LANGUAGE & HEARING ASSOCIATES OF GREATER BOSTON
Practice Address - City:MEDFIELD
Practice Address - State:MA
Practice Address - Zip Code:02052-2317
Practice Address - Country:US
Practice Address - Phone:508-359-4532
Practice Address - Fax:508-359-0198
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASG0013OtherBLUE CROSS BLUE SHIELD OF MA
MASL-M21875OtherMEDICARE B
MA3668706OtherAETNA
MA620733OtherTUFTS
MA626557OtherHARVARD PILGRIM
MA226538OtherMEDICARE A