Provider Demographics
NPI:1053350934
Name:TECHLER, MELINDA REILY (MS CCC-SP)
Entity type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:REILY
Last Name:TECHLER
Suffix:
Gender:F
Credentials:MS CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BLUFF VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR
Mailing Address - State:FL
Mailing Address - Zip Code:33756-1621
Mailing Address - Country:US
Mailing Address - Phone:727-584-0697
Mailing Address - Fax:727-584-0697
Practice Address - Street 1:4 BLUFF VIEW DR
Practice Address - Street 2:
Practice Address - City:BELLEAIR
Practice Address - State:FL
Practice Address - Zip Code:33756-1621
Practice Address - Country:US
Practice Address - Phone:727-584-0697
Practice Address - Fax:727-584-0697
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA1231235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist