Doctor Name: | MRS. MELISSA PARIS KREIDEL |
NPI Number: | 1033480967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5152 |
Business Practice Address: | 6172 Airways Blvd Suite 112 Chattanooga, TN - 374212984 |
Business Phone Number: | 4236221551 |
Business Fax Number: | 8778567133 |
Mailing Address: | 6172 Airways Blvd, Suite 112 CHATTANOOGA |
State: | TN |
Postal Code: | 374212984 |
Phone Number: | 4236221551 |
Fax Number: | 8778567133 |
NPI Enumeration Date: | 01/24/2012 |
NPI Last Update Date: | 10/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |