Provider Demographics
NPI:1033454525
Name:COLE ANDREWS, MERRIDY (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MERRIDY
Middle Name:
Last Name:COLE ANDREWS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:MERRIDY
Other - Middle Name:
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:8703 HIGHWAY 17 BYP S
Mailing Address - Street 2:SUITE I
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29575-7701
Mailing Address - Country:US
Mailing Address - Phone:843-457-1053
Mailing Address - Fax:
Practice Address - Street 1:8703 HIGHWAY 17 BYP S
Practice Address - Street 2:SUITE I
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29575-7701
Practice Address - Country:US
Practice Address - Phone:843-457-1053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-10
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4999235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist