MEDICARE: DARLA MAY MEIER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	421955	MN

General Provider Information

NPI Number	:	1295936078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLA MAY MEIER

Provider Business Mailing Address
First Line	:	23572 176TH ST NW
Second Line	:
City	:	BIG LAKE
State	:	MN
Zip	:	55309-9605
Country	:	US
Telephone Number	:	763-263-0184
Fax Number	:

Provider Business Practice Location Address
First Line	:	23572 176TH ST NW
Second Line	:
City	:	BIG LAKE
State	:	MN
Zip	:	55309-9605
Country	:	US
Telephone Number	:	763-263-0184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	07/08/2007

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Directions to “ DARLA MAY MEIER ” Practice Location

Language	Start Address	Practice Location

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