Provider Demographics
NPI:1891012530
Name:HULME, MELINDA (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:
Last Name:HULME
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 1:179 S GROVE ST
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-2916
Mailing Address - Country:US
Mailing Address - Phone:215-284-9380
Mailing Address - Fax:
Practice Address - Street 1:179 S GROVE ST
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2916
Practice Address - Country:US
Practice Address - Phone:215-284-9380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019582-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist