Provider Demographics
NPI:1255749305
Name:GUERIN, MEAGHAN ANN (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MEAGHAN
Middle Name:ANN
Last Name:GUERIN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WALLACE ST
Mailing Address - Street 2:APARTMENT 8
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1856
Mailing Address - Country:US
Mailing Address - Phone:732-865-4349
Mailing Address - Fax:
Practice Address - Street 1:125 HALF MILE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-6749
Practice Address - Country:US
Practice Address - Phone:732-533-5193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00694200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist