Doctor Name: | MELODY NAIR POTTS |
NPI Number: | 1912234899 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | |
Business Practice Address: | 2121 North Ave Grand Junction, CO - 815016428 |
Business Phone Number: | 9702441319 |
Business Fax Number: | |
Mailing Address: | P.o. Box 51, 4932 Black Bear Ct. MESA |
State: | CO |
Postal Code: | 816430051 |
Phone Number: | 9702685001 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2009 |
NPI Last Update Date: | 11/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |