Doctor Name: | MELANIE BEARDSLEE |
NPI Number: | 1548562796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SP11340 |
Business Practice Address: | 125 Ryan Industrial Ct 205 San Ramon, CA - 945831772 |
Business Phone Number: | 9253603969 |
Business Fax Number: | 9252631906 |
Mailing Address: | 3095 Silva Way, SAN RAMON |
State: | CA |
Postal Code: | 945825708 |
Phone Number: | 9253603969 |
Fax Number: | 9252631906 |
NPI Enumeration Date: | 11/20/2010 |
NPI Last Update Date: | 11/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP11340 |
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 |