Doctor Name: | MRS. MELINDA L ACKLEY |
NPI Number: | 1164564845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 013362-1 |
Business Practice Address: | 960 Maple Rd Suburban Adult Services Elma, NY - 140599530 |
Business Phone Number: | 7168051555 |
Business Fax Number: | 7168051444 |
Mailing Address: | 11399 Springville Boston Rd, EAST CONCORD |
State: | NY |
Postal Code: | 140559711 |
Phone Number: | 7165924247 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 013362-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |