Organization
MELANIE EDLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE SUE EDLIN (DEVELOPMENTAL INTERVENTIONIST)
(270) 763-9404
Entity
Organization
Contact information
Practice address
395 YOUNGERS CREEK RD, ELIZABETHTOWN, KY 42701-7788
(207) 763-9404
Mailing address
395 YOUNGERS CREEK RD, ELIZABETHTOWN, KY 42701-7788
(207) 763-9404
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200402743
KY
252Y00000X
Early Intervention Provider Agency
200402743
KY
Other
Enumeration date
01/17/2013
Last updated
11/17/2014
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