Provider Demographics
NPI:1235324187
Name:PINON, MELINDA (SLP-A)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:PINON
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-3455
Mailing Address - Country:US
Mailing Address - Phone:956-361-5800
Mailing Address - Fax:
Practice Address - Street 1:1145 ROSS ST STE L
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-4338
Practice Address - Country:US
Practice Address - Phone:956-361-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX322242355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant