Doctor Name: | MRS. MELODIE JEAN LOOK |
NPI Number: | 1467609966 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 2863 |
Business Practice Address: | 200 S Main St Russell, KS - 676652920 |
Business Phone Number: | 7854832323 |
Business Fax Number: | 7854834859 |
Mailing Address: | 406 N Fossil St, RUSSELL |
State: | KS |
Postal Code: | 676652109 |
Phone Number: | 7854258765 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2008 |
NPI Last Update Date: | 08/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |