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NPI Code Detail

MEDICARE: MEREDITH DARDEN SPEECH/LANG PATH

MEDICARE:   MEREDITH  DARDEN  SPEECH/LANG PATH
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 Pathologist2202002710VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1192571OTHERVAANTHEM HEALTHK PLUS
2295644OTHERVAMDIPA

General Provider Information

NPI Number : 1972699767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH DARDEN SPEECH/LANG PATH
Provider Business Mailing Address
First Line : 4 KERNWOOD DRIVE
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22407
Country : US
Telephone Number : 540-710-7024
Fax Number :
Provider Business Practice Location Address
First Line : 600 JACKSON ST
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401
Country : US
Telephone Number : 540-373-3223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/09/2007

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Directions to “ MEREDITH DARDEN SPEECH/LANG PATH” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.