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MEGAN BROGAN
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1396250361
Individual Registrant: MEGAN BROGAN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3044 DUE WEST RD DALLAS, GA 30157-2125 US
Tel: 770-443-9672 Fax: --
Tel: 770-443-9672 Fax: --
Contact information for business:
3044 DUE WEST RD DALLAS, GA 30157-2125 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1396250361
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | GA | SLP009873 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
