Doctor Name: | MRS. BRENDA FAY MELONCON |
NPI Number: | 1093039232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 13731 |
Business Practice Address: | 9707 Berkshire Trce Pearland, TX - 775843058 |
Business Phone Number: | 2817980947 |
Business Fax Number: | 7134364795 |
Mailing Address: | 9707 Berkshire Trce, PEARLAND |
State: | TX |
Postal Code: | 775843058 |
Phone Number: | 2817980947 |
Fax Number: | 7134364795 |
NPI Enumeration Date: | 03/17/2010 |
NPI Last Update Date: | 08/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |