Provider Demographics
NPI:1356121842
Name:CRABB, MELANIE RENEE (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:RENEE
Last Name:CRABB
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 1:1515 LONGVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-8060
Mailing Address - Country:US
Mailing Address - Phone:515-778-0309
Mailing Address - Fax:
Practice Address - Street 1:701 PRAIRIE HAWK DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8001
Practice Address - Country:US
Practice Address - Phone:303-387-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA12018026235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist