Provider Demographics
NPI:1124278494
Name:SCHWEINLE, MELODY (SLP)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:SCHWEINLE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20333 NIGHTBIRD TRL
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-3523
Mailing Address - Country:US
Mailing Address - Phone:832-215-3148
Mailing Address - Fax:
Practice Address - Street 1:1000 1ST ST E
Practice Address - Street 2:SUITE E
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4924
Practice Address - Country:US
Practice Address - Phone:281-540-2001
Practice Address - Fax:281-540-2789
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24891235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist