Provider Demographics
NPI:1619278975
Name:TOLMIE, MELODY ANN (MT-BC, NMT)
Entity Type:Individual
Prefix:
First Name:MELODY
Middle Name:ANN
Last Name:TOLMIE
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 W ROBINHOOD DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5507
Mailing Address - Country:US
Mailing Address - Phone:209-482-4470
Mailing Address - Fax:209-952-5420
Practice Address - Street 1:1240 W ROBINHOOD DR
Practice Address - Street 2:SUITE G
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5507
Practice Address - Country:US
Practice Address - Phone:209-482-4470
Practice Address - Fax:209-952-5420
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist