Doctor Name: | MRS. MELANIE ANN CORNELIUS |
NPI Number: | 1225170830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD CCC-SLP |
License Number: | SP#1454 |
Business Practice Address: | Hc 89 Box 433 Mt Pleasant, AR - 725619708 |
Business Phone Number: | 8703465906 |
Business Fax Number: | |
Mailing Address: | Hc 89 Box 433, MT PLEASANT |
State: | AR |
Postal Code: | 725619708 |
Phone Number: | 8703465906 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#1454 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |