Provider Demographics
NPI:1679839989
Name:KINLOCH, MELINDA (MA)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:
Last Name:KINLOCH
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 1:429 ROBINS EGG DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-6814
Mailing Address - Country:US
Mailing Address - Phone:803-546-0766
Mailing Address - Fax:
Practice Address - Street 1:429 ROBINS EGG DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-6814
Practice Address - Country:US
Practice Address - Phone:803-546-0766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1512235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist