Most Relevant Information
Provider Data
| NPI Number: | 1003591652 |
| Provider Name: | MEGAN DIERKING |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2023 |
| Last Updated: | 06/20/2023 |
Provider Practice Location
1891 STATION PKWY NW
ANDOVER
MN
553043341
Practice Location Phone/Fax
| Phone: | 7637554275 |
| Fax: |
Provider Mailing Location
1311 MAMARONECK AVE STE 140
WHITE PLAINS
NY
106055224
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |