Provider Demographics
NPI:1568913366
Name:FIENHOLD, MEGAN NOELANI (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:NOELANI
Last Name:FIENHOLD
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:NOELANI
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:45-727 PUUPELE ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-5713
Mailing Address - Country:US
Mailing Address - Phone:808-352-0177
Mailing Address - Fax:
Practice Address - Street 1:45-727 PUUPELE ST
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-5713
Practice Address - Country:US
Practice Address - Phone:808-352-0177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-895235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist