| Doctor Name: | ANISSA NICHOLE MEACHAM |
| NPI Number: | 1760500680 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | 2202004275 |
| Business Practice Address: | 851 French Moore Jr Blvd Suite 193 Abingdon, VA - 242104738 |
| Business Phone Number: | 2764922069 |
| Business Fax Number: | 8653811275 |
| Mailing Address: | 851 French Moore Jr Blvd, Suite 193 ABINGDON |
| State: | VA |
| Postal Code: | 242104738 |
| Phone Number: | 2764922069 |
| Fax Number: | 8653811275 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202004275 |
| 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 |