Individual
MEAGAN HEINOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MARSHHAWK WAY, MARSHFIELD, MA 02050-2669
(781) 566-0575
Mailing address
55 MARSHHAWK WAY, MARSHFIELD, MA 02050-2669
(781) 566-0575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76692
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76692
DIVISION OF PROFESSIONAL LICENSURE
MA
Enumeration date
03/07/2019
Last updated
03/07/2019
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