Provider Demographics
NPI:1720231657
Name:CAPELLINI, MEAGHAN C (SLP)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:C
Last Name:CAPELLINI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WOOD GLEN DR
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-4925
Mailing Address - Country:US
Mailing Address - Phone:845-284-2907
Mailing Address - Fax:
Practice Address - Street 1:5 WOOD GLEN DR
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-4925
Practice Address - Country:US
Practice Address - Phone:845-284-2907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015602-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist