Provider Demographics
NPI:1972926806
Name:UMLAUF, MELANIE SUE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:SUE
Last Name:UMLAUF
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:UMLAUF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:5380 CINDERFORD ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2316
Mailing Address - Country:US
Mailing Address - Phone:330-491-0494
Mailing Address - Fax:
Practice Address - Street 1:5380 CINDERFORD ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2316
Practice Address - Country:US
Practice Address - Phone:330-491-0494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-4598235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist