Provider Demographics
NPI:1871908012
Name:ANDERSON, MEREDITH (AUD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT OF OHNS UNC AT CHAPEL HILL 170 MANNING DR
Mailing Address - Street 2:POB G190, CB7070
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7070
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF OHNS UNC AT CHAPEL HILL 170 MANNING DR
Practice Address - Street 2:POB G190, CB7070
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7070
Practice Address - Country:US
Practice Address - Phone:919-966-5251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
10916231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist