Provider Demographics
NPI:1043360878
Name:RELKEN, MEREDITH LYNN (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LYNN
Last Name:RELKEN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 NORTH COLE DRIVE
Mailing Address - Street 2:HIGHLAND PARK ELEMENTARY
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-0000
Mailing Address - Country:US
Mailing Address - Phone:480-832-3034
Mailing Address - Fax:
Practice Address - Street 1:230 NORTH COLE DRIVE
Practice Address - Street 2:HIGHLAND PARK ELEMENTARY
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-0000
Practice Address - Country:US
Practice Address - Phone:480-832-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1626235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist