Individual
MEREDITH LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6627 E MARISA LN, PHOENIX, AZ 85054-6717
(602) 899-1779
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
DOH SLP4050
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813990
—
AZ
Enumeration date
10/18/2006
Last updated
06/15/2022
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