Provider Demographics
NPI:1689840902
Name:MEALEY, AMBER ARTHUR (AUD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:ARTHUR
Last Name:MEALEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:AMBER
Other - Middle Name:SUE
Other - Last Name:ARTHUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:5220 W UNIVERSITY DR
Mailing Address - Street 2:STE 150
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7064
Mailing Address - Country:US
Mailing Address - Phone:972-984-1050
Mailing Address - Fax:972-984-1376
Practice Address - Street 1:5220 W UNIVERSITY DR
Practice Address - Street 2:STE 150
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7064
Practice Address - Country:US
Practice Address - Phone:972-984-1050
Practice Address - Fax:972-984-1376
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80928231H00000X
CAAU2644231H00000X
CAHA7489237700000X
GAAUD003837231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN489395600Medicaid
MN489395600Medicaid
GA202I643199Medicare UPIN