Provider Demographics
NPI:1710132014
Name:FREITAS, MEAGHAN ROSE (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MEAGHAN
Middle Name:ROSE
Last Name:FREITAS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ROYAL CREST DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6443
Mailing Address - Country:US
Mailing Address - Phone:603-731-7439
Mailing Address - Fax:855-232-8604
Practice Address - Street 1:15 ROYAL CREST DR
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845
Practice Address - Country:US
Practice Address - Phone:603-731-7439
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9489235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist