MEDICARE: WHITNEY DIANE MERRITT 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
1	235Z00000X	Speech-Language Pathologist	109604	TX

General Provider Information

NPI Number	:	1871087759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY DIANE MERRITT MS., CCC-SLP

Provider Business Mailing Address
First Line	:	5805 COIT RD STE 403
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-6990
Country	:	US
Telephone Number	:	972-964-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5805 COIT RD STE 403
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-6990
Country	:	US
Telephone Number	:	972-964-1500
Fax Number	:

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

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	06/14/2018

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Directions to “ WHITNEY DIANE MERRITT MS., CCC-SLP” Practice Location

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