Provider Demographics
NPI:1225269665
Name:ALLEN, MEREDITH (MS)
Entity Type:Individual
Prefix:MISS
First Name:MEREDITH
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 BULL ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2560
Mailing Address - Country:US
Mailing Address - Phone:803-767-4238
Mailing Address - Fax:803-753-9548
Practice Address - Street 1:1931 BULL ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2560
Practice Address - Country:US
Practice Address - Phone:803-767-4238
Practice Address - Fax:803-753-9548
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4493235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist