Provider Demographics
NPI:1396105649
Name:MENG, NANCY EVA (SLP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:EVA
Last Name:MENG
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 1:14548 BURBANK RD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:OH
Mailing Address - Zip Code:44214-9763
Mailing Address - Country:US
Mailing Address - Phone:330-464-7141
Mailing Address - Fax:
Practice Address - Street 1:14548 BURBANK RD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:OH
Practice Address - Zip Code:44214-9763
Practice Address - Country:US
Practice Address - Phone:330-464-7141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1741235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist