Healthcare Provider Details

I. General information

NPI: 1386554798
Provider Name (Legal Business Name): ANN MEADE MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1264 ADAMS ST
DANSVILLE MI
48819-5100
US

IV. Provider business mailing address

1206 DAKIN RD
DANSVILLE MI
48819-9732
US

V. Phone/Fax

Practice location:
  • Phone: 517-623-6120
  • Fax:
Mailing address:
  • Phone: 517-719-3725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101002065
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: