| Doctor Name: | MRS. COREY DALTON MEADOR |
| NPI Number: | 1609002765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 2202005493 |
| Business Practice Address: | 990 Main St Suite 101 Danville, VA - 245411828 |
| Business Phone Number: | 4347914691 |
| Business Fax Number: | 4347914692 |
| Mailing Address: | Po Box 10518, DANVILLE |
| State: | VA |
| Postal Code: | 245435009 |
| Phone Number: | 4347914691 |
| Fax Number: | 4347914692 |
| NPI Enumeration Date: | 06/03/2009 |
| NPI Last Update Date: | 10/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202005493 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |