Doctor Name: | MELINDA JEAN GRIEB |
NPI Number: | 1831405414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C-4774 |
Business Practice Address: | 116 Calle Espinosa Ave Espanola, NM - 875323431 |
Business Phone Number: | 5057531128 |
Business Fax Number: | |
Mailing Address: | 116 Calle Espinosa Ave, ESPANOLA |
State: | NM |
Postal Code: | 875323431 |
Phone Number: | 5057531128 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2010 |
NPI Last Update Date: | 08/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | C-4774 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |