Provider Demographics
NPI:1891527925
Name:MORALES, MEGAN LEE (HAS)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:LEE
Last Name:MORALES
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 PALM BAY RD STE 3
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-3846
Mailing Address - Country:US
Mailing Address - Phone:321-733-1800
Mailing Address - Fax:
Practice Address - Street 1:1300 PALM BAY RD STE 3
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-3846
Practice Address - Country:US
Practice Address - Phone:321-733-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5829237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist