| Meghan Layne Moline, | |
|
175 Franklin St, North Adams, MA 01247-2712 | |
| (413) 664-4041 | |
| Not Available |
| Full Name | Meghan Layne Moline |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 175 Franklin St, North Adams, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356100507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP101173 (Massachusetts) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023684370 PECOS PAC ID: 2163339722 Enrollment ID: O20210825003977 |
| Mailing Address | Practice Location Address |
|---|---|
| Meghan Layne Moline, 1021 Red Maple St, Centerton, AR 72719-6059 Ph: (573) 778-8564 | Meghan Layne Moline, 175 Franklin St, North Adams, MA 01247-2712 Ph: (413) 664-4041 |
Rhonda Ann Wood, SLPCCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25 Marshall St, Brien Center, North Adams, MA 01247 Phone: 413-398-1341 | |
Amber Rose Antoinette Arnold, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Ave Ste 214, North Adams, MA 01247 Phone: 413-398-5064 | |
Williamstown Behavioral Health Associates Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Ave Ste 214, North Adams, MA 01247 Phone: 413-398-5064 Fax: 413-398-5496 | |
Sarah Little, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 175 Franklin St, North Adams, MA 01247 Phone: 413-664-4041 |