Individual
MELANIE ANN BRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1000
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8790
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8790
STATE OF MINNESOTA LICENSE
MN
Enumeration date
07/21/2011
Last updated
04/25/2016
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