| Doctor Name: | MEREDITH LANE KNOPP |
| NPI Number: | 1164785275 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | 6937 |
| Business Practice Address: | 1703 Country Club Rd Suite #305 Jacksonville, NC - 285467560 |
| Business Phone Number: | 9106192277 |
| Business Fax Number: | 9103197030 |
| Mailing Address: | 303 Saltram Ct, WILMINGTON |
| State: | NC |
| Postal Code: | 284119293 |
| Phone Number: | 9106192277 |
| Fax Number: | 9103197030 |
| NPI Enumeration Date: | 06/22/2012 |
| NPI Last Update Date: | 06/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 6937 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| 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 |