Roach, Melodie Gray
Roach, Melodie Gray is an individual health care provider with primary practice located at 5520 Broadview Rd Frnt , Parma OH 44134-1605. 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. Roach, Melodie Gray can be contacted via phone (216) 749-6650.Contact Information
Primary practice address
5520 Broadview Rd Frnt
Parma OH 44134-1605
Phone: (216) 749-6650
Fax: (216) 749-1655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP.04193 | Ohio |
Profile Details
| NPI number | 1316966773 |
|---|---|
| LBN Legal business name | Roach, Melodie Gray |
| Credentials | MA CCC-SLP, RAC-CT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Nov 7th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316966773 | NPPES |
| Ohio | Other | 11508487 | CAQH |
| Ohio | MEDICAID | 0148005 | CAQH |
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