Individual
PETER MEIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
530 TANGLEWOOD LN, MISHAWAKA, IN 46545-2627
(574) 271-4462
(574) 247-4465
Mailing address
1206 FARM CREST DR APT 3B, MISHAWAKA, IN 46544-8965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005360A
IN
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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