Provider Demographics
NPI:1740905215
Name:MEYTHALER, ANDREW (AUD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:MEYTHALER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 CANYON RD STE 17
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1928
Mailing Address - Country:US
Mailing Address - Phone:205-482-0991
Mailing Address - Fax:
Practice Address - Street 1:2017 CANYON RD STE 17
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1928
Practice Address - Country:US
Practice Address - Phone:205-482-0991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1321A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist