Doctor Name: | MELANIE BELLEAU POPP |
NPI Number: | 1295720902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-A |
License Number: | 2540 |
Business Practice Address: | 5201 Eden Ave Suite 50 Edina, MN - 554362316 |
Business Phone Number: | 9529292060 |
Business Fax Number: | 9529292067 |
Mailing Address: | 5201 Eden Ave, Suite 50 EDINA |
State: | MN |
Postal Code: | 554362316 |
Phone Number: | 9529292060 |
Fax Number: | 9529292067 |
NPI Enumeration Date: | 09/19/2005 |
NPI Last Update Date: | 03/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2540 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |