Mellonig, Amy K

Mellonig, Amy K is an individual health care provider with primary practice located at 508 Medical Center Blvd , Conroe TX 77304-2808. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Mellonig, Amy K can be contacted via phone (281) 943-2790.

Contact Information

Primary practice address
508 Medical Center Blvd Conroe TX 77304-2808
Phone: (281) 943-2790
Fax: (281) 943-2773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 51453 Texas
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 51453 Texas

Profile Details

NPI number 1649442690
LBN Legal business name Mellonig, Amy K
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2008
Last updated Oct 19th, 2011 - about 13 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 1649442690 NPPES
Texas MEDICAID 152797002

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