Doctor Name: | MEREDITH GREEN |
NPI Number: | 1356756803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 3218 |
Business Practice Address: | 399 Mountain Ridge Rd Millbrook, AL - 360542128 |
Business Phone Number: | 3345320220 |
Business Fax Number: | 3345320221 |
Mailing Address: | 340 Mendel Pkwy W, MONTGOMERY |
State: | AL |
Postal Code: | 361175406 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/24/2014 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3218 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |