Healthcare Provider Details

I. General information

NPI: 1770278814
Provider Name (Legal Business Name): MEREDITH GELPI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 LAKESHORE RDG
BIRMINGHAM AL
35211-6958
US

IV. Provider business mailing address

120 BROOKSTONE DR
COVINGTON LA
70433-6259
US

V. Phone/Fax

Practice location:
  • Phone: 205-726-2011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: