Individual
MEREDITH BRIANNE QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
PO BOX 1311, BRIDGEPORT, WV 26330-6311
(304) 629-4884
Mailing address
PO BOX 1311, BRIDGEPORT, WV 26330-6311
(304) 629-4884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2198
WV
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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