Provider Demographics
NPI:1306131198
Name:WARD, MEGIN MURPHY (MACCCSLP)
Entity type:Individual
Prefix:MRS
First Name:MEGIN
Middle Name:MURPHY
Last Name:WARD
Suffix:
Gender:F
Credentials:MACCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 PHEASANT RUN TRACE
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028
Mailing Address - Country:US
Mailing Address - Phone:781-632-5690
Mailing Address - Fax:
Practice Address - Street 1:4215 PHEASANT RUN TRACE
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30028
Practice Address - Country:US
Practice Address - Phone:781-632-5690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005352235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist