Provider Demographics
NPI:1558535153
Name:MEADOWS, ATHEANA M (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:ATHEANA
Middle Name:M
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 TUCKER DR
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-9111
Mailing Address - Country:US
Mailing Address - Phone:606-759-4852
Mailing Address - Fax:606-759-0122
Practice Address - Street 1:991 MEDICAL PARK DR
Practice Address - Street 2:SUITE 301
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-8764
Practice Address - Country:US
Practice Address - Phone:606-759-4852
Practice Address - Fax:606-759-0122
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2013-09-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist