1457752768 NPI number — MRS. MEGHAN ELIZABETH SALYER CCC-SLP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457752768 NPI number — MRS. MEGHAN ELIZABETH SALYER CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALYER
Provider First Name:
MEGHAN
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCGEE
Provider Other First Name:
MEGHAN
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1457752768
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
340 E JACKSON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GATE CITY
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24251-3526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-386-6118
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11415 NICKELSVILLE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NICKELSVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24271-3517
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-479-2676
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/06/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2202008164 . This is a "VIRGINIA BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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