Provider Demographics
NPI:1851679005
Name:SPEIGHTS, MELANIE A (BC-HIS)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:A
Last Name:SPEIGHTS
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 E BROADWAY BLVD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-5905
Mailing Address - Country:US
Mailing Address - Phone:520-305-3273
Mailing Address - Fax:
Practice Address - Street 1:2030 E BROADWAY BLVD
Practice Address - Street 2:SUITE 16
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-5905
Practice Address - Country:US
Practice Address - Phone:520-305-3273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6816237700000X
KY0999237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist