Individual
MELINDA MAE POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
209 HICKORY ST, LICKING, MO 65542-9847
(304) 685-5963
Mailing address
209 HICKORY ST, LICKING, MO 65542-9847
(304) 685-5963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012037640
MO
235Z00000X
Speech-Language Pathologist
SLP-1141
WV
Other
Enumeration date
05/28/2010
Last updated
02/24/2014
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