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NPI Code Detail

MEDICARE: MEREDITH L ANSEL SLP

MEDICARE: MEREDITH L ANSEL 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 Pathologist18183TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18T4307OTHERTXBCBS
218183OTHERTXSTATE BOARD

General Provider Information

NPI Number : 1669570776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH L ANSEL SLP
Provider Business Mailing Address
First Line : PO BOX 162904
Second Line :
City : AUSTIN
State : TX
Zip : 78746-2904
Country : US
Telephone Number : 512-306-1707
Fax Number : 512-306-7380
Provider Business Practice Location Address
First Line : 4613 BEE CAVE RD STE 202
Second Line :
City : WEST LAKE HILLS
State : TX
Zip : 78746-5212
Country : US
Telephone Number : 512-306-1707
Fax Number : 512-306-7380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 01/29/2014

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Directions to “ MEREDITH L ANSEL SLP” Practice Location

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