| Doctor Name: | MS. MELISSA KAYE BAEHRE |
| NPI Number: | 1598083859 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 01095501 |
| Business Practice Address: | 3351 Eagle Run Dr Ne Suite C Grand Rapids, MI - 495257070 |
| Business Phone Number: | 6163658920 |
| Business Fax Number: | 6163658971 |
| Mailing Address: | 3351 Eagle Run Dr Ne, Suite C GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495257070 |
| Phone Number: | 6163658920 |
| Fax Number: | 6163658971 |
| NPI Enumeration Date: | 05/12/2010 |
| NPI Last Update Date: | 05/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 01095501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| 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 |