Healthcare Provider Details

I. General information

NPI: 1225950322
Provider Name (Legal Business Name): ANNE-MARIE MEYER CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 COUGAR WAY
BEAUMONT CA
92223-5185
US

IV. Provider business mailing address

1525 LYNNE CT
REDLANDS CA
92373-7143
US

V. Phone/Fax

Practice location:
  • Phone: 951-456-1776
  • Fax:
Mailing address:
  • Phone: 909-855-6548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP10155
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: