Provider Demographics
NPI:1679175020
Name:MUHLESTEIN, MELANIE (AUD)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:MUHLESTEIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:4015 W CLEARWATER AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-2631
Mailing Address - Country:US
Mailing Address - Phone:509-736-4005
Mailing Address - Fax:509-737-9525
Practice Address - Street 1:4015 W CLEARWATER AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2631
Practice Address - Country:US
Practice Address - Phone:509-736-4005
Practice Address - Fax:509-737-9525
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD61508445231H00000X, 237600000X
IDAUD-4478231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter