| Doctor Name: | BETHANY JOY MEYER |
| NPI Number: | 1396991725 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 2009013308 |
| Business Practice Address: | 300 Floyd Dr Sikeston, MO - 638013960 |
| Business Phone Number: | 5734720397 |
| Business Fax Number: | |
| Mailing Address: | 329 S Shawnee Blvd, Apt 4 JACKSON |
| State: | MO |
| Postal Code: | 637552294 |
| Phone Number: | 3142773607 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2008 |
| NPI Last Update Date: | 06/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2009013308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| 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 |