Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Megan Detwiler

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225501562

Megan Detwiler is a Student in an Organized Health Care Education/Training Program in Blue Point, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

235 Blue Point Ave
Blue Point, NY 11715-1261
Phone: (579) 463-1363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 029532 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1225501562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2019
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020
Mailing address29 Acorn Ln, Stony Brook, NY 11790-2128

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