Individual
MEGAN MARIE VANDEPOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
8733 23 MILE RD, MARION, MI 49665-8010
(517) 614-3146
Mailing address
8733 23 MILE RD, MARION, MI 49665-8010
(517) 614-3146
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
7101000727
MI
235Z00000X
Speech-Language Pathologist
7101000727
MI
Other
Enumeration date
03/31/2014
Last updated
11/07/2019
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