MEDICARE: LAURIE ANN MEUNIER CCC-SLP

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

General Provider Information

NPI Number	:	1538347885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE ANN MEUNIER CCC-SLP

Provider Business Mailing Address
First Line	:	1019 S GRINNELL ST
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-2974
Country	:	US
Telephone Number	:	517-784-7454
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 HORTON RD STE A
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-5177
Country	:	US
Telephone Number	:	517-784-5043
Fax Number	:

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

Provider Enumeration Date	:	02/07/2008
Last Update Date	:	02/07/2008

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Directions to “ LAURIE ANN MEUNIER CCC-SLP” Practice Location

Language	Start Address	Practice Location

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