National Provider Identifier
Megara Fitzgibbons Boller, M.A., CCC-SLP
Megara Fitzgibbons Boller, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 271-0680.
Profile Overview
- NPI
- 1013161983
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 05, 2008
- Last Updated
- November 05, 2008
Practice Location
- 1000 Elmwood Ave
- Suite 400
- Rochester, NY 14620
Phone: (585) 271-0680
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1013161983
- Entity Type
- Individual
- Last Name
- Boller
- First Name
- Megara
- Middle Name
- Fitzgibbons
- Name Prefix
- Mrs.
- Credential
- M.A., CCC-SLP
- Provider Other Last Name
- Fitzgibbons
- Provider Other First Name
- Megara
- Provider Other Middle Name
- Eileen
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- M.A., TSHH
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1000 Elmwood Ave
- Mailing Address Line 2
- Suite 400
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620
- Mailing Country
- US
- Mailing Phone
- (585) 271-0680
- Mailing Fax
- (585) 271-6977
- Practice Street Address
- 1000 Elmwood Ave
- Practice Address Line 2
- Suite 400
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 271-0680
- Practice Fax
- (585) 271-6977
- Enumeration Date
- November 05, 2008
- Last Updated
- November 05, 2008
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Speech-Language Pathologist (235Z00000X)