Doctor Name: | MELINDA DUBOIS |
NPI Number: | 1013040815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.CCC-SLP |
License Number: | SP385 |
Business Practice Address: | 538 Western Ave Augusta, ME - 043307739 |
Business Phone Number: | 2076211125 |
Business Fax Number: | 2076269357 |
Mailing Address: | 538 Western Ave, AUGUSTA |
State: | ME |
Postal Code: | 043307739 |
Phone Number: | 2076211125 |
Fax Number: | 2076269357 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP385 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |