Provider Demographics
NPI:1306361753
Name:MEYER, MOLLY E (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:E
Last Name:MEYER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:E
Other - Last Name:BATESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:800 SOUTHWOOD BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:INCLINE VILLAGE
Mailing Address - State:NV
Mailing Address - Zip Code:89451-7475
Mailing Address - Country:US
Mailing Address - Phone:775-298-1441
Mailing Address - Fax:
Practice Address - Street 1:800 SOUTHWOOD BLVD STE 207
Practice Address - Street 2:
Practice Address - City:INCLINE VILLAGE
Practice Address - State:NV
Practice Address - Zip Code:89451-7475
Practice Address - Country:US
Practice Address - Phone:775-298-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP26979235Z00000X
NVSP-1398235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist