Doctor Name: | MELISSA IRVING |
NPI Number: | 1114324175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 41YS00746000 |
Business Practice Address: | 32 E 22nd St Bayonne, NJ - 070023709 |
Business Phone Number: | 8622238002 |
Business Fax Number: | |
Mailing Address: | 1201 Hudson St, Apt 1108s HOBOKEN |
State: | NJ |
Postal Code: | 070307406 |
Phone Number: | 6093746782 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2014 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00746000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |