Provider Demographics
NPI:1720970361
Name:HUMPHREYS, MEREDITH ADDISON
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ADDISON
Last Name:HUMPHREYS
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 1:128 FM 3221
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:TX
Mailing Address - Zip Code:76634-4649
Mailing Address - Country:US
Mailing Address - Phone:214-949-3317
Mailing Address - Fax:
Practice Address - Street 1:1000 KEY AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:TX
Practice Address - Zip Code:76634-1041
Practice Address - Country:US
Practice Address - Phone:254-675-1875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist