Provider Demographics
NPI:1780417881
Name:WHEELER, MEGHAN RHIANNE
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:RHIANNE
Last Name:WHEELER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:RHIANNE
Other - Last Name:GRIMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:544 N VETERANS RD
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-6737
Mailing Address - Country:US
Mailing Address - Phone:573-221-3054
Mailing Address - Fax:573-221-0519
Practice Address - Street 1:544 N VETERANS RD
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401-6737
Practice Address - Country:US
Practice Address - Phone:573-221-3054
Practice Address - Fax:573-221-0519
Is Sole Proprietor?:No
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20220415082355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant