MEDICARE: MS. MEREDITH HORGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP.LL.61483986	WA

General Provider Information

NPI Number	:	1528905924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEREDITH HORGAN

Provider Business Mailing Address
First Line	:	1215 MOUNTAIN AIRE WAY SE
Second Line	:
City	:	LACEY
State	:	WA
Zip	:	98503-1920
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 MOUNTAIN AIRE WAY SE
Second Line	:
City	:	LACEY
State	:	WA
Zip	:	98503-1920
Country	:	US
Telephone Number	:	564-201-7249
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2026
Last Update Date	:	05/02/2026

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Directions to “ MS. MEREDITH HORGAN ” Practice Location

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