Doctor Name: | MELVINA E. BIGTHUMB |
NPI Number: | 1639362551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | Mustang Rd. 1 Mi. N. Of Highway 264 St Michaels, AZ - 865110100 |
Business Phone Number: | 9288712822 |
Business Fax Number: | 9288712837 |
Mailing Address: | Po Box 100, ST MICHAELS |
State: | AZ |
Postal Code: | 865110100 |
Phone Number: | 9288712822 |
Fax Number: | 9288712837 |
NPI Enumeration Date: | 08/23/2007 |
NPI Last Update Date: | 08/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |