Provider Demographics
NPI:1245519818
Name:RIDLEY, MEGHANN ATKINSON (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MEGHANN
Middle Name:ATKINSON
Last Name:RIDLEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 EAST 7TH STREET, UNIT 26
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-4363
Mailing Address - Country:US
Mailing Address - Phone:207-749-9938
Mailing Address - Fax:
Practice Address - Street 1:740 EAST 7TH STREET, UNIT 26
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02127
Practice Address - Country:US
Practice Address - Phone:207-749-9938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7751235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist