Provider Demographics
NPI:1134608995
Name:ARNOLD, MEAGHAN MEREDITH (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:MEREDITH
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:MEAGHAN
Other - Middle Name:
Other - Last Name:FOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:7282 CROSSWATER STE 100
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0659
Mailing Address - Country:US
Mailing Address - Phone:903-871-5712
Mailing Address - Fax:903-309-1035
Practice Address - Street 1:7282 CROSSWATER STE 100
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-0659
Practice Address - Country:US
Practice Address - Phone:903-871-5712
Practice Address - Fax:903-309-1035
Is Sole Proprietor?:No
Enumeration Date:2018-08-12
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
112354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist