Provider Demographics
NPI:1609221498
Name:MONSTED, MELISSA
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:MONSTED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-027 HEKAHA ST
Mailing Address - Street 2:BLDG 3 UNIT 46
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4910
Mailing Address - Country:US
Mailing Address - Phone:808-488-0660
Mailing Address - Fax:808-488-0661
Practice Address - Street 1:98-027 HEKAHA ST
Practice Address - Street 2:BLDG 3 UNIT 46
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4910
Practice Address - Country:US
Practice Address - Phone:808-488-0660
Practice Address - Fax:808-488-0661
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1484235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist