Provider Demographics
NPI:1326230509
Name:SIMANSKI, MELANIE (MA-CCC-A)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:SIMANSKI
Suffix:
Gender:F
Credentials:MA-CCC-A
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:MINDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2129
Mailing Address - Country:US
Mailing Address - Phone:908-232-2900
Mailing Address - Fax:
Practice Address - Street 1:121 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2129
Practice Address - Country:US
Practice Address - Phone:908-232-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00056000231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist