Doctor Name: | MS. MELODY K STILLS |
NPI Number: | 1205104940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 5531 |
Business Practice Address: | 714 Atkinson Street Laurinburg, NC - 28352 |
Business Phone Number: | 9104235622 |
Business Fax Number: | 9104235538 |
Mailing Address: | P.o. Box 1288, 580 Farringdom Street LUMBERTON |
State: | NC |
Postal Code: | 28359 |
Phone Number: | 9106107821 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2011 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |