Doctor Name: | MELINDA MAE POLAND |
NPI Number: | 1912226036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | SLP-1141 |
Business Practice Address: | 209 Hickory St Licking, MO - 655429847 |
Business Phone Number: | 3046855963 |
Business Fax Number: | |
Mailing Address: | 209 Hickory St, LICKING |
State: | MO |
Postal Code: | 655429847 |
Phone Number: | 3046855963 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2010 |
NPI Last Update Date: | 02/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-1141 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |