Provider Demographics
NPI:1679289144
Name:MCWILLIAMS, MEREDITH ELISE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ELISE
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 NORTHGLEN CT
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-8050
Mailing Address - Country:US
Mailing Address - Phone:412-770-7488
Mailing Address - Fax:
Practice Address - Street 1:3399 BRODHEAD RD STE A
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-1290
Practice Address - Country:US
Practice Address - Phone:724-888-2548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL016519235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist