Provider Demographics
NPI:1477396729
Name:WILLIAMSON, MEGHAN RILEY (CF-SLP)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:RILEY
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11783 QUARTER HORSE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-6709
Mailing Address - Country:US
Mailing Address - Phone:412-915-4791
Mailing Address - Fax:
Practice Address - Street 1:6965 PIAZZA GRANDE AVE STE 208
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8780
Practice Address - Country:US
Practice Address - Phone:321-437-3393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ12081235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist