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NPI Code Detail

MEDICARE: MEREDITH MINICH M.A. CCC SLP

MEDICARE:   MEREDITH  MINICH  M.A. 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 Pathologist14547100IN

General Provider Information

NPI Number : 1811636418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH MINICH M.A. CCC SLP
Provider Business Mailing Address
First Line : 4740 KINGSWAY DR # 33
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1521
Country : US
Telephone Number : 317-466-1000
Fax Number :
Provider Business Practice Location Address
First Line : 4740 KINGSWAY DR # 33
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1521
Country : US
Telephone Number : 317-466-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2022
Last Update Date : 06/15/2026

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Directions to “ MEREDITH MINICH M.A. CCC SLP” Practice Location

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