Doctor Name: | MR. LONNIE STEPHAN MEADE |
NPI Number: | 1104955657 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC SLP |
License Number: | SLP4179 |
Business Practice Address: | 450 W 6th St Yuma, AZ - 853642973 |
Business Phone Number: | 9285024300 |
Business Fax Number: | 9285024442 |
Mailing Address: | 11304 E 26th Ln, YUMA |
State: | AZ |
Postal Code: | 853678940 |
Phone Number: | 9283446856 |
Fax Number: | 9283446930 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP4179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |