Provider Demographics
NPI:1891987632
Name:BROWN, MEREDITH S (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:S
Last Name:BROWN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 HIGHWAY 4 E
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-2112
Mailing Address - Country:US
Mailing Address - Phone:662-252-1141
Mailing Address - Fax:662-252-4836
Practice Address - Street 1:1315 HIGHWAY 4 E
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-2112
Practice Address - Country:US
Practice Address - Phone:662-252-1141
Practice Address - Fax:662-252-4836
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS3000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist