MEDICARE: MEREDITH MICHELLE SNIDER M.S., 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
1	235Z00000X	Speech-Language Pathologist	7151000091	MI

General Provider Information

NPI Number	:	1508571894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH MICHELLE SNIDER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	6530 WELLS RD
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-9225
Country	:	US
Telephone Number	:	734-417-1081
Fax Number	:

Provider Business Practice Location Address
First Line	:	6530 WELLS RD
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-9225
Country	:	US
Telephone Number	:	734-417-1081
Fax Number	:

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

Provider Enumeration Date	:	01/20/2023
Last Update Date	:	01/20/2023

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Directions to “ MEREDITH MICHELLE SNIDER M.S., CCC-SLP” Practice Location

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