Individual
MELINDA E LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31606 NE PINK HILL ROAD, GRAIN VALLEY, MO 64029-0304
(816) 847-5006
(816) 229-4831
Mailing address
31606 NE PINK HILL ROAD, GRAIN VALLEY, MO 64029-0304
(816) 847-5006
(816) 229-4831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009019312
MO
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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