Healthcare Provider Details
I. General information
NPI: 1346200821
Provider Name (Legal Business Name): MERIDIAN SPEECH AND HEARING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2203 HWY 39 N SUITE A, BOX 5
MERIDIAN MS
39301-2609
US
IV. Provider business mailing address
PO BOX 486
MERIDIAN MS
39302-0486
US
V. Phone/Fax
- Phone: 601-483-8121
- Fax: 601-485-6627
- Phone: 601-703-9506
- Fax: 601-703-3264
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHY
PARRISH
Title or Position: PRESIDENT
Credential:
Phone: 205-459-4778