1841597440 NPI number — MRS. MEGAN LONG BRIGGS SPEECH LANGUAGE PATH

Table of content: MRS. MEGAN LONG BRIGGS SPEECH LANGUAGE PATH (NPI 1841597440)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841597440 NPI number — MRS. MEGAN LONG BRIGGS SPEECH LANGUAGE PATH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRIGGS
Provider First Name:
MEGAN
Provider Middle Name:
LONG
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
SPEECH LANGUAGE PATH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841597440
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2415 W PECAN ST
Provider Second Line Business Mailing Address:
# 100
Provider Business Mailing Address City Name:
PFLUGERVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78660-3670
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-251-3230
Provider Business Mailing Address Fax Number:
512-251-8760

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2415 W PECAN ST
Provider Second Line Business Practice Location Address:
# 100
Provider Business Practice Location Address City Name:
PFLUGERVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78660-3670
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-251-3230
Provider Business Practice Location Address Fax Number:
512-251-8760
Provider Enumeration Date:
02/16/2011

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 , with the licence number:  105910 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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