Doctor Name: | MISS MELISSA MARY HORNER |
NPI Number: | 1669679817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 7782 |
Business Practice Address: | 1661 Park Ridge Dr Chaska, MN - 553182841 |
Business Phone Number: | 9524033980 |
Business Fax Number: | 9524033979 |
Mailing Address: | 6135 Chasewood Pkwy Apt 304, MINNETONKA |
State: | MN |
Postal Code: | 553434382 |
Phone Number: | 9524033946 |
Fax Number: | 9524033979 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |