Doctor Name: | MELISSA RUTLEDGE |
NPI Number: | 1407909492 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 2159 |
Business Practice Address: | 200 Target Rd Corrales, NM - 870487765 |
Business Phone Number: | 5057927400 |
Business Fax Number: | |
Mailing Address: | 3 Manzano Rd, CORRALES |
State: | NM |
Postal Code: | 870488325 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |