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Individual
MRS. MEGAN ELIZABETH MASSARO
Active
Individual
MRS. MEGAN ELIZABETH MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP TSSLD
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04192027
—
NY
Enumeration date
08/31/2015
Last updated
09/12/2022
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