Doctor Name: | MELANIE J JORDAN |
NPI Number: | 1679862924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASTER OF ARTS |
License Number: | SP-2430 |
Business Practice Address: | 211 Redondo Rd Youngstown, OH - 445041805 |
Business Phone Number: | 3307442000 |
Business Fax Number: | |
Mailing Address: | 430 Bonnie Brae Rd, VIENNA |
State: | OH |
Postal Code: | 444739675 |
Phone Number: | 3308564307 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2011 |
NPI Last Update Date: | 04/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-2430 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |