Meredith Leslie Bushell, Speech pathologist
Speech-Language Pathologist, in Wading River, NY. Individual provider (NPI-1).
NPI number1487265385
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1487265385
- Entity type
- Individual (NPI-1)
- Name
- Ms. Meredith Leslie Bushell
- Credential
- Speech pathologist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2020
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
76 Roberts PathWading River, NY 11792-2177
Phone 631-513-0760
Mailing address
76 Roberts PathWading River, NY 11792-2177
Phone 631-513-0760
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Speech-Language Pathologist providers in Wading River, NY
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All 30 Speech-Language Pathologist providers in Wading River · All 255 providers in Wading River
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