Provider Demographics
NPI:1730503145
Name:NAFZIGER, MEGAN TIERNEY (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:TIERNEY
Last Name:NAFZIGER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 VINE ST
Mailing Address - Street 2:
Mailing Address - City:ARCHBOLD
Mailing Address - State:OH
Mailing Address - Zip Code:43502-1226
Mailing Address - Country:US
Mailing Address - Phone:419-572-9834
Mailing Address - Fax:
Practice Address - Street 1:600 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:ARCHBOLD
Practice Address - State:OH
Practice Address - Zip Code:43502-1656
Practice Address - Country:US
Practice Address - Phone:419-446-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.7524235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist