Individual
MRS. MEREDITH IVY BRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP, COM
Contact information
Practice address
1777 NORTHEAST EXPY NE STE 120, BROOKHAVEN, GA 30329-2480
(404) 228-8558
(404) 228-8659
Mailing address
1777 NORTHEAST EXPY NE STE 120, BROOKHAVEN, GA 30329-2480
(404) 228-8558
(404) 228-8659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004739
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000860604A
—
GA
05
—
000860604D
—
GA
Enumeration date
01/06/2007
Last updated
02/27/2023
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