Provider Demographics
NPI:1104129451
Name:MUSIC, MELINDA M (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:M
Last Name:MUSIC
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:HAGERHILL
Mailing Address - State:KY
Mailing Address - Zip Code:41222-0175
Mailing Address - Country:US
Mailing Address - Phone:606-788-1033
Mailing Address - Fax:
Practice Address - Street 1:111 CHERRY HILL LN
Practice Address - Street 2:
Practice Address - City:HAGERHILL
Practice Address - State:KY
Practice Address - Zip Code:41222-8627
Practice Address - Country:US
Practice Address - Phone:606-788-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2779235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist