Doctor Name: | MELISSA ANNE CORELLA |
NPI Number: | 1619150604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLP5730 |
Business Practice Address: | 793 N Alma School Rd Suite D4 Chandler, AZ - 852243681 |
Business Phone Number: | 4806264142 |
Business Fax Number: | 4806267370 |
Mailing Address: | 2314 W Ivanhoe St, CHANDLER |
State: | AZ |
Postal Code: | 852243481 |
Phone Number: | 4807869770 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP5730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |