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NPI Code Detail

MEDICARE: AMY MEREDITH PH.D., CCC/SLP

MEDICARE: AMY MEREDITH PH.D., 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
1235Z00000XSpeech-Language PathologistLL00004577WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1916001108OTHERGROUP HEALTH

General Provider Information

NPI Number : 1558554410
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MEREDITH PH.D., CCC/SLP
Provider Business Mailing Address
First Line : 412 E SPOKANE FALLS BLVD
Second Line :
City : SPOKANE
State : WA
Zip : 99202-2131
Country : US
Telephone Number : 509-505-7481
Fax Number : 509-606-2515
Provider Business Practice Location Address
First Line : DAGGY HALL ROOM 133
Second Line :
City : PULLMAN
State : WA
Zip : 99164-2420
Country : US
Telephone Number : 509-335-1509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2007
Last Update Date : 02/04/2026

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