Doctor Name: | MELINA ELLIOTT |
NPI Number: | 1437448495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 9961 |
Business Practice Address: | 1712 Lynngrove Dr Manhattan Beach, CA - 902664242 |
Business Phone Number: | 3109472777 |
Business Fax Number: | |
Mailing Address: | 1712 Lynngrove Dr, MANHATTAN BEACH |
State: | CA |
Postal Code: | 902664242 |
Phone Number: | 3109472777 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2011 |
NPI Last Update Date: | 03/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |