Provider Demographics
NPI:1447493515
Name:MEYERS, CAROL ANNE (MED , CCC/SP)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ANNE
Last Name:MEYERS
Suffix:
Gender:F
Credentials:MED , CCC/SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-2134
Mailing Address - Country:US
Mailing Address - Phone:336-869-5788
Mailing Address - Fax:
Practice Address - Street 1:3512 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-2134
Practice Address - Country:US
Practice Address - Phone:336-869-5788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC548235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist