Provider Demographics
NPI:1578745402
Name:MEISER, MICHELE H (SLP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:H
Last Name:MEISER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 225
Mailing Address - Street 2:
Mailing Address - City:MIFFLINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17059-9632
Mailing Address - Country:US
Mailing Address - Phone:717-535-5363
Mailing Address - Fax:717-436-9185
Practice Address - Street 1:401 YALE ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1677
Practice Address - Country:US
Practice Address - Phone:717-248-6261
Practice Address - Fax:717-248-6264
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003452L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist