Provider Demographics
NPI:1992509491
Name:CORRIVEAU, MELINA LEIGH
Entity type:Individual
Prefix:
First Name:MELINA
Middle Name:LEIGH
Last Name:CORRIVEAU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 MOSS CLIFF CIR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7628
Mailing Address - Country:US
Mailing Address - Phone:214-449-5927
Mailing Address - Fax:
Practice Address - Street 1:CMC/LEVINE CHILDREN'S HOSPITAL
Practice Address - Street 2:1000 BLYTHE BLVD., 4TH FLOOR, MEB
Practice Address - City:CHAROLETTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5812
Practice Address - Country:US
Practice Address - Phone:704-381-6800
Practice Address - Fax:704-381-6841
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program