Melissa Rae Dale, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Minerva, OH
NPI 1124458674 · NPPES record last updated May 24, 2017
Key facts
- NPI
- 1124458674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12146045 (OH)
- Practice address
- 400 Carolyn CT
Minerva, OH 44657-8703 - Phone
- (330) 933-8838
- NPI assigned
- Nov 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12146045 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bekidspt LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12146045 | OH | Yes |
Addresses
Primary practice location
400 Carolyn CT
Minerva, OH 44657-8703
Mailing address
2 Taas TRL
Malvern, OH 44644-9604
Other providers in Minerva, OH
- Kayla Nicole Carroll
- CC&S Ambulance Inc
- Teresa Craddock-Starr
- James Lemuel Cunningham
- Amanda Jean Dabb
- Davis Chiropractic Inc.
- Aimee Davis
- Todd Davis
- Linda M Didomenico
- Robert J Didomenico
All providers in Minerva, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.