Active NPIIndividual providerSole proprietor

Mrs. Meredith C Humphries, MS, SLP-CCC

Speech-Language Pathologist, in Midland Park, New Jersey

NPI Number1104290832
Practice location
110 Midland Ave, Apt 17A, Midland Park, NJ 07432-1477
Fax
—
Last updated
November 18, 2015

Meredith Clark Humphries is a Speech-Language Pathologist, based in Midland Park, NJ. Meredith Clark Humphries practices in Midland Park, NJ and has the professional credentials of MS, SLP-CCC. The NPI Number for Meredith Clark Humphries is 1104290832 and holds a License No. LL 60445162 (WA). The current practice location address for Meredith Clark Humphries is 110 Midland Ave, Apt 17A, Midland Park, NJ 07432-1477 and can be reached out via phone at 919-721-7928.

Provider Profile Details

NPI Number
1104290832
Provider Name
Meredith Clark Humphries
Credential
MS, SLP-CCC
Provider Entity Type
Individual
Gender
Female
Address
110 Midland Ave, Apt 17A, Midland Park, NJ 07432-1477
Phone Number
919-721-7928
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 18, 2015
Last Update Date
November 18, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Midland Ave
Apt 17A
Midland Park, NJ 07432-1477
Zip
07432-1477
Phone Number
919-721-7928
Midland Park, NJ 07432Get directions →

Provider Business Mailing Address Details

Address
110 Midland Ave
Apt 17A
Midland Park, NJ 07432-1477
City
Midland Park
State
NJ
Zip
07432-1477
Phone Number
919-721-7928

License Information

License Number (1)
LL 60445162
License State (1)
WA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
11065
License State (2)
NC
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X
License Number (3)
41YS00823900
License State (3)
NJ
Taxonomy (3)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Meredith C Humphries, MS, SLP-CCC?

The NPI number of Mrs. Meredith C Humphries, MS, SLP-CCC is 1104290832. It was assigned on November 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Meredith C Humphries, MS, SLP-CCC?

Mrs. Meredith C Humphries, MS, SLP-CCC is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in WA under license number LL 60445162.

Where does Mrs. Meredith C Humphries, MS, SLP-CCC practice?

The practice location is 110 Midland Ave, Apt 17A, Midland Park, NJ 07432-1477. The office can be reached at 919-721-7928 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104290832 directly on the NPPES registry website.

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