Provider Demographics
NPI:1073764486
Name:MALDONADO-BENHAJAR, MELISSA (TSHH- MS)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:MALDONADO-BENHAJAR
Suffix:
Gender:F
Credentials:TSHH- MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11817 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6149
Mailing Address - Country:US
Mailing Address - Phone:718-261-5575
Mailing Address - Fax:718-785-3011
Practice Address - Street 1:11817 UNION TPKE
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6149
Practice Address - Country:US
Practice Address - Phone:718-261-5575
Practice Address - Fax:718-785-3011
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist