MEDICARE: MRS. MELINDA HULME M.A. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	019582-1	NY

General Provider Information

NPI Number	:	1891012530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELINDA HULME M.A. CCC-SLP

Provider Business Mailing Address
First Line	:	179 S GROVE ST
Second Line	:
City	:	EAST AURORA
State	:	NY
Zip	:	14052-2916
Country	:	US
Telephone Number	:	215-284-9380
Fax Number	:

Provider Business Practice Location Address
First Line	:	179 S GROVE ST
Second Line	:
City	:	EAST AURORA
State	:	NY
Zip	:	14052-2916
Country	:	US
Telephone Number	:	215-284-9380
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2010
Last Update Date	:	04/20/2010

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