Healthcare Provider Details

I. General information

NPI: 1306687199
Provider Name (Legal Business Name): MEREDITH M ENGLE SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEREDITH MCCASKILL CLP

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 HIGHWAY 8W STE 4
CLEVELAND MS
38732-2267
US

IV. Provider business mailing address

25025 HIGHWAY 15
UNION MS
39365-8577
US

V. Phone/Fax

Practice location:
  • Phone: 662-410-4440
  • Fax: 662-410-1442
Mailing address:
  • Phone: 769-222-1053
  • Fax: 769-222-1167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberS-5056
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: