Provider Demographics
NPI:1679947147
Name:HALE, MELNIKA J
Entity Type:Individual
Prefix:
First Name:MELNIKA
Middle Name:J
Last Name:HALE
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 1:2296 PLEASANT FOREST DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-4992
Mailing Address - Country:US
Mailing Address - Phone:501-240-8098
Mailing Address - Fax:
Practice Address - Street 1:2296 PLEASANT FOREST DR
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-4992
Practice Address - Country:US
Practice Address - Phone:501-240-8098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-21
Last Update Date:2015-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant