Provider Demographics
NPI:1780971572
Name:CABANEL, MEGAN (MCD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:CABANEL
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BEAVER DAM RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03908-1811
Mailing Address - Country:US
Mailing Address - Phone:508-254-6286
Mailing Address - Fax:
Practice Address - Street 1:4 BEAVER DAM RD
Practice Address - Street 2:
Practice Address - City:SOUTH BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03908-1811
Practice Address - Country:US
Practice Address - Phone:508-254-6286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist