Doctor Name: | MEREDITH FREED |
NPI Number: | 1922434190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 4727 |
Business Practice Address: | 4 Hazel Ave Naugatuck, CT - 067704706 |
Business Phone Number: | 2037231456 |
Business Fax Number: | |
Mailing Address: | 23 Nash St, Apt 1 NEW HAVEN |
State: | CT |
Postal Code: | 065112615 |
Phone Number: | 2034171636 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2013 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |