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NPI Code Detail

MEDICARE: MRS. COURTLAND GUNN MEYER MED CCCSLP CED

MEDICARE: MRS. COURTLAND GUNN MEYER MED CCCSLP CED
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 Pathologist2202001289VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1137468OTHERVAANTHEM

General Provider Information

NPI Number : 1780677260
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. COURTLAND GUNN MEYER MED CCCSLP CED
Provider Business Mailing Address
First Line : 3071 BROOKSTONE DR
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-9325
Country : US
Telephone Number : 540-483-3661
Fax Number :
Provider Business Practice Location Address
First Line : MCNULTY CENTER FOR CHILDREN AND FAMILIES
Second Line : 463 E WASHINGTON ST
City : HARRISONBURG
State : VA
Zip : 22802
Country : US
Telephone Number : 540-433-3100
Fax Number : 540-433-8277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. COURTLAND GUNN MEYER MED CCCSLP CED” Practice Location

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