Provider Demographics
NPI:1851750913
Name:CHADWELL, MELINDA (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:
Last Name:CHADWELL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2476 SOMBRA HL
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2637
Mailing Address - Country:US
Mailing Address - Phone:210-274-6361
Mailing Address - Fax:
Practice Address - Street 1:2476 SOMBRA HL
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2637
Practice Address - Country:US
Practice Address - Phone:210-274-6361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107580235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist