Doctor Name: | MS. MELYSSA ELLEN HEDRICK |
NPI Number: | 1871886986 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | P/SLP-0508 |
Business Practice Address: | 130 Kaufman Dr Fairmont, WV - 265542179 |
Business Phone Number: | 3043635634 |
Business Fax Number: | |
Mailing Address: | 1334 Riddle Ave, MORGANTOWN |
State: | WV |
Postal Code: | 265052642 |
Phone Number: | 3049067598 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2011 |
NPI Last Update Date: | 05/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | P/SLP-0508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |