Provider Demographics
NPI:1750404398
Name:NOONAN, MEGAN BETH (AUD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:BETH
Last Name:NOONAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:BETH
Other - Last Name:MCGUIRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:950 ROUTE 146 STE 200
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3667
Mailing Address - Country:US
Mailing Address - Phone:518-383-4273
Mailing Address - Fax:518-383-4274
Practice Address - Street 1:950 ROUTE 146 STE 200
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3667
Practice Address - Country:US
Practice Address - Phone:518-383-4273
Practice Address - Fax:518-383-4274
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000000345237600000X
NY001651-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter