Healthcare Provider Details

I. General information

NPI: 1801062997
Provider Name (Legal Business Name): MELINDA JOYCE BEAN MS CCCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14610 CREEK WATCH PL APT 3004
CHARLOTTE NC
28277-4718
US

IV. Provider business mailing address

14610 CREEK WATCH PL APT 3004
CHARLOTTE NC
28277-4718
US

V. Phone/Fax

Practice location:
  • Phone: 904-521-5054
  • Fax:
Mailing address:
  • Phone: 904-521-5054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1387
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number7986
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number11640
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: