Provider Demographics
NPI:1700454188
Name:MEADER, LORI ANN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:MEADER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:MCDERMOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:PO BOX 849
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-0849
Mailing Address - Country:US
Mailing Address - Phone:603-673-5141
Mailing Address - Fax:603-672-1924
Practice Address - Street 1:1 KITTREDGE ROAD
Practice Address - Street 2:
Practice Address - City:MONT VERNON
Practice Address - State:NH
Practice Address - Zip Code:03057-0305
Practice Address - Country:US
Practice Address - Phone:603-673-5141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1158235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist