Provider Demographics
NPI:1043489172
Name:MEIERS, KRISTIE H (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:H
Last Name:MEIERS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:HURLEY
Other - Last Name:MEIERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:113 AUTUMN HILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP.
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4837
Mailing Address - Country:US
Mailing Address - Phone:723-766-7543
Mailing Address - Fax:
Practice Address - Street 1:113 AUTUMN HILL DR
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-4837
Practice Address - Country:US
Practice Address - Phone:723-766-7543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008528235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist