Provider Demographics
NPI:1649228610
Name:SALLOUKH, MELINDA MARGARET (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:MARGARET
Last Name:SALLOUKH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WEDGEWOOD TER
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7325
Mailing Address - Country:US
Mailing Address - Phone:501-318-0412
Mailing Address - Fax:501-318-0475
Practice Address - Street 1:105 WEDGEWOOD TER
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7325
Practice Address - Country:US
Practice Address - Phone:501-318-0412
Practice Address - Fax:501-318-0475
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#828235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
5S642OtherBLUE CROSS BLUE SHIELD