Doctor Name: | MRS. TRACY M MEYER |
NPI Number: | 1316165459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 7612 |
Business Practice Address: | 800 E 28th St Suite 2720 Minneapolis, MN - 554073723 |
Business Phone Number: | 6128633525 |
Business Fax Number: | |
Mailing Address: | 11343 Stratton Ave Apt 202, EDEN PRAIRIE |
State: | MN |
Postal Code: | 553444477 |
Phone Number: | 6128633525 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |