Provider Demographics
NPI:1285966846
Name:SEARS, MELINDA LEE (MS, SLP-CCC)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:LEE
Last Name:SEARS
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6206 HONEYCOMB CT
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-7963
Mailing Address - Country:US
Mailing Address - Phone:410-549-0524
Mailing Address - Fax:
Practice Address - Street 1:6206 HONEYCOMB CT
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-7963
Practice Address - Country:US
Practice Address - Phone:410-549-0524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02002235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist