Provider Demographics
NPI:1316198187
Name:MALEK, MELYNN K
Entity type:Individual
Prefix:
First Name:MELYNN
Middle Name:K
Last Name:MALEK
Suffix:
Gender:F
Credentials:
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 919
Mailing Address - Street 2:
Mailing Address - City:EDNA
Mailing Address - State:TX
Mailing Address - Zip Code:77957-0919
Mailing Address - Country:US
Mailing Address - Phone:361-782-6137
Mailing Address - Fax:361-781-1007
Practice Address - Street 1:606 S. GILBERT STREET
Practice Address - Street 2:
Practice Address - City:EDNA
Practice Address - State:TX
Practice Address - Zip Code:77957
Practice Address - Country:US
Practice Address - Phone:361-782-6137
Practice Address - Fax:361-781-1007
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100890235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist