Provider Demographics
NPI:1497736524
Name:MEYER, SANDRA JILEK (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:JILEK
Last Name:MEYER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 SHEERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4137
Mailing Address - Country:US
Mailing Address - Phone:440-338-1486
Mailing Address - Fax:
Practice Address - Street 1:1106 SHEERBROOK DR
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4137
Practice Address - Country:US
Practice Address - Phone:440-338-1486
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP2124235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist