Provider Demographics
NPI:1659847390
Name:MELLER, HOPE ELIZABETH (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:ELIZABETH
Last Name:MELLER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22272 RHYS DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042-3822
Mailing Address - Country:US
Mailing Address - Phone:586-484-5491
Mailing Address - Fax:
Practice Address - Street 1:31800 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-7907
Practice Address - Country:US
Practice Address - Phone:586-264-9701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-21
Last Update Date:2018-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101000614235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist