Melanie Leigh Crookston

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.5635 Issued in OH

Practice address

1128 Waterloo Rd
Mogadore, OH 44260-9577

Phone

(330) 552-5252

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1174016703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 CALL RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242107",
            "telephone_number": "330-676-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 WATERLOO RD",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442609577",
            "telephone_number": "330-552-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKSTON",
        "first_name": "MELANIE",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Burick, DO
• Brian R Cain, M.D.
• Meredith Susan Casto
• Desiree Chambers
• Christine Cook
• Stacy Crouser
• Dennis C. McCluskey, M.D. & Associates, Inc.
• Robert Louis Dennis, D.D.S.
• Jill M Dickey, AGACNP
• Gianna Rose Douglas

• Speech-Language Pathologist in Mogadore, OH
• Providers in Mogadore, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.