Provider Demographics
NPI:1598169773
Name:MEEHL, ANDREA (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:MEEHL
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 1:2817 XERXES AVE S APT 201
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-4419
Mailing Address - Country:US
Mailing Address - Phone:763-236-3000
Mailing Address - Fax:763-236-3066
Practice Address - Street 1:550 OSBORNE RD NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-2718
Practice Address - Country:US
Practice Address - Phone:763-236-3000
Practice Address - Fax:763-236-3066
Is Sole Proprietor?:No
Enumeration Date:2014-10-16
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9563235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist