Provider Demographics
NPI:1396035598
Name:MELTZER, ELAINE F (MA)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:F
Last Name:MELTZER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4805 N WICKHAM CIR UNIT C
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-3591
Mailing Address - Country:US
Mailing Address - Phone:561-706-7542
Mailing Address - Fax:
Practice Address - Street 1:4805 N WICKHAM CIR UNIT C
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3591
Practice Address - Country:US
Practice Address - Phone:561-706-7542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-10
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA10786235Z00000X
IA01397235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist