Healthcare Provider Details

I. General information

NPI: 1881479863
Provider Name (Legal Business Name): MEREDITH BROOKS PHIPPS MS, C-IAYT, E-RYT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

158 CALMING CREEK WAY
ELGIN SC
29045-8149
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-8755
  • Fax:
Mailing address:
  • Phone: 720-255-9266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberIAYT70055958
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: