Meredith Ivy Brand in Brookhaven - Speech-language Pathologist
Meredith Ivy Brand - NPI 1114075371
Meredith Ivy Brand is a Speech-language Pathologist in Brookhaven, Georgia. Meredith Ivy Brand practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Meredith Ivy Brand is 1114075371. The last update date is 2023-02-27.
Meredith Ivy Brand's current location address is 1777 Northeast Expy Ne Ste 120, Brookhaven, Georgia. You can contact this provider via phone number 4042288558 and fax number 4042288659. The mailing address for Meredith Ivy Brand is 1777 Northeast Expy Ne Ste 120, Brookhaven, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Meredith Ivy Brand |
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Address | 1777 Northeast Expy Ne Ste 120, Brookhaven, Georgia |
Phone Number | 4042288558 |
Fax Number | 4042288659 |
Sole Proprietor | Y |
Credentials | M.ED. CCC- |
NPI Number Detail
NPI Number | 1114075371 |
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Provider Enumeration Date | 2007-01-06 |
Last Updated Date | 2023-02-27 |
Provider Mailing Address Detail
Address | 1777 Northeast Expy Ne Ste 120 |
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City | Brookhaven |
State | Georgia (GA) |
Post Code | 303292480 |
Phone Number | 4042288558 |
Fax Number | 4042288659 |
Provider's Primary Taxonomy Detail
Speciality | Speech-language Pathologist |
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Taxonomy | 235Z00000X |
Licence No | SLP004739 |
Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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000860604A | GA | -- | |
000860604D | GA | -- |
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What is the unique identifier code issued to Meredith Ivy Brand by the Centers for Medicare & Medicaid Services (CMS)?
The Meredith Ivy Brand has been assigned the NPI (National Provider Identifier) 1114075371. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Meredith Ivy Brand's physical address?
The Meredith Ivy Brand is physically located at 1777 Northeast Expy Ne Ste 120, in the city of Brookhaven, GA, with the postal code 303292480.
What is the Meredith Ivy Brand's specialty and taxonomy code?
The Meredith Ivy Brand's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114075371 to Meredith Ivy Brand?
The Meredith Ivy Brand received its 1114075371 assignment from the Centers for Medicare & Medicaid Services on 2007-01-06.
When was the information related to Meredith Ivy Brand most recently updated or refreshed?
The details pertaining to the Meredith Ivy Brand, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-02-27.
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