Doctor Name: | KRISTEN NICOLE MELANDER |
NPI Number: | 1023265204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 22004609A |
Business Practice Address: | 4102 Shore Dr Indianapolis, IN - 462542608 |
Business Phone Number: | 3173479051 |
Business Fax Number: | |
Mailing Address: | 12824 E 131st St, FISHERS |
State: | IN |
Postal Code: | 460375907 |
Phone Number: | 3176079940 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004609A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |