Doctor Name: | MS. MEREDITH GAYLE JOHNSTON |
NPI Number: | 1881840429 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SP#2282 |
Business Practice Address: | 912 W 6th Ave Pine Bluff, AR - 716014033 |
Business Phone Number: | 8705340135 |
Business Fax Number: | |
Mailing Address: | 707 East St, WHITE HALL |
State: | AR |
Postal Code: | 716022961 |
Phone Number: | 8702473031 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#2282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |