Provider Demographics
NPI:1144502832
Name:DEALMEIDA, MEAGHAN MCELROY (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:MCELROY
Last Name:DEALMEIDA
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 1:82 BIDDLE WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-5274
Mailing Address - Country:US
Mailing Address - Phone:856-206-9525
Mailing Address - Fax:
Practice Address - Street 1:3001 LINCOLN DR W STE F
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1528
Practice Address - Country:US
Practice Address - Phone:856-383-6800
Practice Address - Fax:856-797-9100
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00653500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist