Provider Demographics
NPI:1700592649
Name:SARIPALLI, MELONY-JANE T (MS SLP)
Entity Type:Individual
Prefix:
First Name:MELONY-JANE
Middle Name:T
Last Name:SARIPALLI
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 W AIRPORT FWY
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6020
Mailing Address - Country:US
Mailing Address - Phone:972-600-3693
Mailing Address - Fax:
Practice Address - Street 1:2621 W AIRPORT FWY
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6020
Practice Address - Country:US
Practice Address - Phone:972-600-3693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120516235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist