Provider Demographics
NPI:1669043949
Name:BOEHLER, MEGAN E (AUD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:BOEHLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33120 N VILLAGE LOOP UNIT 2305
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-6278
Mailing Address - Country:US
Mailing Address - Phone:913-626-5825
Mailing Address - Fax:
Practice Address - Street 1:32034 LONG NECK RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-6228
Practice Address - Country:US
Practice Address - Phone:302-945-8886
Practice Address - Fax:302-947-9687
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO2-0010274231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist