Desmond, Melanie P

Desmond, Melanie P is an sole proprietor health care provider with primary practice located at 128 Woodlands Creek Dr , Ponte Vedra Beach FL 32082-3217. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Desmond, Melanie P can be contacted via phone (904) 616-3455.

Contact Information

Primary practice address
128 Woodlands Creek Dr Ponte Vedra Beach FL 32082-3217
Phone: (904) 616-3455
Fax: (904) 473-8933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 6650 Florida

Profile Details

NPI number 1720203078
LBN Legal business name Desmond, Melanie P
Credentials M.A. SLP-CCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Jun 9th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720203078 NPPES
Florida MEDICAID 887469700

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