Provider Demographics
NPI:1659484228
Name:KAUFMAN, MERYL LEVINE
Entity Type:Individual
Prefix:
First Name:MERYL
Middle Name:LEVINE
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:9-4400
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2208
Mailing Address - Country:US
Mailing Address - Phone:404-686-4414
Mailing Address - Fax:404-686-4699
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:9-4400
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2208
Practice Address - Country:US
Practice Address - Phone:404-686-4414
Practice Address - Fax:404-686-4699
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051513521OtherBCBS OF AL
AL890010000Medicaid