Doctor Name: | MS. MELINDA KATHLEEN GAMBLE |
NPI Number: | 1023027208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC/SLP |
License Number: | SA2873 |
Business Practice Address: | 1402 Royal Palm Beach Blvd Bldg #102, Suite #105b Royal Palm Beach, FL - 334111691 |
Business Phone Number: | 5612361299 |
Business Fax Number: | 5617531548 |
Mailing Address: | 7967 Mandarin Blvd, LOXAHATCHEE |
State: | FL |
Postal Code: | 334702924 |
Phone Number: | 5612361299 |
Fax Number: | 5617531548 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA2873 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |