Provider Demographics
NPI:1649997834
Name:ANDERSON, PATRICIA MEAGHAN JING-MEI (AUD, CCC-A, CH-TM)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MEAGHAN JING-MEI
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:AUD, CCC-A, CH-TM
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:MEAGHAN JING-MEI
Other - Last Name:TAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:340 DARDANELLI LN STE 22
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1418
Mailing Address - Country:US
Mailing Address - Phone:408-540-7128
Mailing Address - Fax:408-599-3013
Practice Address - Street 1:340 DARDANELLI LN STE 22
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1418
Practice Address - Country:US
Practice Address - Phone:408-540-7128
Practice Address - Fax:408-599-3013
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3761231H00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist