Provider Demographics
NPI:1912424722
Name:HACKETT, PERI MEGHAN (MS)
Entity Type:Individual
Prefix:MS
First Name:PERI
Middle Name:MEGHAN
Last Name:HACKETT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 HAINES RD APT 1D
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10507-1226
Mailing Address - Country:US
Mailing Address - Phone:914-471-0943
Mailing Address - Fax:
Practice Address - Street 1:38 SECOR RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-7225
Practice Address - Country:US
Practice Address - Phone:914-671-3175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist