Provider Demographics
NPI:1225552334
Name:ZEMKE, MEREDITH LEIGH (SLP)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LEIGH
Last Name:ZEMKE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4464
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59702-4464
Mailing Address - Country:US
Mailing Address - Phone:406-565-5085
Mailing Address - Fax:833-406-2356
Practice Address - Street 1:3718 E LAKE DR
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-4388
Practice Address - Country:US
Practice Address - Phone:406-565-5085
Practice Address - Fax:833-406-2356
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSLP-SP-LIC-7996235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist