Provider Demographics
NPI:1033633938
Name:MELANIE DELACRUZ
Entity Type:Organization
Organization Name:MELANIE DELACRUZ
Other - Org Name:LEARN TO S.P.E.A/K/ WITH MELANIE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:SALIDO
Authorized Official - Last Name:DELACRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:408-544-0310
Mailing Address - Street 1:1259 AYALA DR APT 4
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5587
Mailing Address - Country:US
Mailing Address - Phone:1408-544-0310
Mailing Address - Fax:
Practice Address - Street 1:1259 AYALA DR
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5518
Practice Address - Country:US
Practice Address - Phone:408-544-0310
Practice Address - Fax:408-544-0310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19478235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty