| Organization Name: | MERIDIAN REHAB PARTNERS |
| NPI Number: | 1982000881 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA NEWTON KETCHERSID (MANAGING MEMBER) |
| Mailing Address: | 2997 Highway 222 Leola |
| State: | AR US |
| Postal Code: | 720848843 |
| Phone Number: | 5016269675 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2014 |
| NPI Last Update Date: | 11/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP#1991 |
| 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 |