Provider Demographics
NPI:1881479863
Name:PHIPPS, MEREDITH BROOKS (MS, C-IAYT, E-RYT)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:BROOKS
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:MS, C-IAYT, E-RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 CALMING CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8149
Mailing Address - Country:US
Mailing Address - Phone:720-255-9266
Mailing Address - Fax:
Practice Address - Street 1:7777 SAINT ANDREWS RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2864
Practice Address - Country:US
Practice Address - Phone:803-386-8220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist