Melanie Canode
Individual provider Active NPI Speech-Language Pathologist · Bloomfield, NM
NPI 1780893149 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780893149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3142 (NM)
- Practice address
- 325 N Bergin LN
Bloomfield, NM 87413-6729 - Phone
- (505) 634-4334
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3142 | NM | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3142 | NM | Yes |
Addresses
Primary practice location
325 N Bergin LN
Bloomfield, NM 87413-6729
Mailing address
325 N Bergin LN
Bloomfield, NM 87413-6729
Phone (505) 632-4334
Other providers in Bloomfield, NM
- Christina Marie Brickey
- Jillian Brown
- Katherine Bryson
- Lorna F. Bulwan
- Holly Elizabeth Burns
- Deadra D. Carrillo
- Nancy Carter
- Isabella Chavez
- Michelle Childers-Beck
- Terre G Coberly
All providers in Bloomfield, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.