Doctor Name: | MRS. MELANIE BRADY WATERS |
NPI Number: | 1144480500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.C.D., CCC-SLP |
License Number: | 2724 |
Business Practice Address: | 29000 Highway 98 Ste 202b Daphne, AL - 365267272 |
Business Phone Number: | 2517868255 |
Business Fax Number: | |
Mailing Address: | 29000 Hwy 98 Suite 202b, DAPHNE |
State: | AL |
Postal Code: | 36526 |
Phone Number: | 2517868255 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2008 |
NPI Last Update Date: | 06/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |