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NPI Code Detail

MEDICARE: CINDY MEESTER MS CCC-SLP

MEDICARE: CINDY MEESTER MS CCC-SLP
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
1235Z00000XSpeech-Language Pathologist7600MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1351T5MEOTHERMNBLUE CROSS BLUE SHIELD
246-01002OTHERMNMEDICA

General Provider Information

NPI Number : 1366508608
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY MEESTER MS CCC-SLP
Provider Business Mailing Address
First Line : 12710 55TH AVE N
Second Line :
City : PLYMOUTH
State : MN
Zip : 55442-1431
Country : US
Telephone Number : 763-553-0868
Fax Number :
Provider Business Practice Location Address
First Line : 9048 PEONY LN N
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55311-4417
Country : US
Telephone Number : 763-416-9313
Fax Number : 763-416-4530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 07/08/2007

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Directions to “ CINDY MEESTER MS CCC-SLP” Practice Location

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