Provider Demographics
NPI:1104411420
Name:BROOKS-MCLENDON, MENG ASHLEY
Entity type:Individual
Prefix:
First Name:MENG
Middle Name:ASHLEY
Last Name:BROOKS-MCLENDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 MARKET ST STE A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-7502
Mailing Address - Country:US
Mailing Address - Phone:267-301-3789
Mailing Address - Fax:
Practice Address - Street 1:1529 GREEN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-4046
Practice Address - Country:US
Practice Address - Phone:267-301-3789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist