Provider Demographics
NPI:1629223714
Name:NEUMANN, MEAGHEN LINDSAY (MS,CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MS
First Name:MEAGHEN
Middle Name:LINDSAY
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:MS,CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 3RD AVE
Mailing Address - Street 2:APARTMENT 11T
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2506
Mailing Address - Country:US
Mailing Address - Phone:703-927-8780
Mailing Address - Fax:
Practice Address - Street 1:205 3RD AVE
Practice Address - Street 2:APARTMENT 11T
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2506
Practice Address - Country:US
Practice Address - Phone:703-927-8780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017384-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist